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Safety Network Traffic Signs - Insurance Certificate (2020)
Gilroy I ACORD 25 (2016103) { C' R ® CERTIFICATE DATE (MM/2019 Y) A OF LIABILITY INSURANCE I 1,7/08/019 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 I CONTACT Joseph Lara NAME: Cal -Valley Insurance Services, Inc. PHONE (559) 225-1300 FAx 559 225-8966 (A/C, No. Ext): I (A/C, No): ( ) 5070 N. Sixth St. #155 I E-MAIL Joseph]@calvalleyinsurance.com ADDRESS: License #0733383 I INSURER(S) AFFORDING COVERAGE NAIC # Fresno CA 93710 I INSURERA: Everest National Insurance Co 10120 INSURED INsuRER B : Philadelphia Indemnity Insurance Company 18058 Safety Network, Inc.;Safety Network Traffic Control Services, Inc. I INSURER C : Endurance Risk Solutions Assurance Co. Safety Network Traffic, Inc. I INSURER D : State Compensation Ins Fund 2310 N. Larkin Ave I INSURER E : Underwriters At Lloyds, London Fresno CA 93727-8644 I INSURER F : COVERAGES CERTIFICATE NUMBER: 2019/2020 Master 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 AuuL SUbtc POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) I LIMITS 43630 35076 15792 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ;Z/ CLAIMS -MADE OCCUR DAMAGE TO RENTED I PREMISES (Ea occurrence) 100,000 $ _ I MED EXP (Any one person) $ 10,000 A CF2GL00035-191 06/06/2019 06/06/2020 PERSONAL & ADV INJURY $ 1,000,000 GENTAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X] PRO ❑ JECT LOC PRODUCTS - COMP/OP AGG 2,000,000 $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _ (Ea accident) X ANYAUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED _ AUTOS ONLY AUTOS PHPK1990526 06/06/2019 06/06/2020 BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE $ _ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAB CLAIMS -MADE EXC30000041103 06/06/2019 06/06/2020 I AGGREGATE $ I I DED RETENTION $ $ WORKERS COMPENSATION ORH XI AND EMPLOYERS' LIABILITY Y/N SPER TATUTE I I ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y N /A. 909439719 04/01/2019 04/01/2020 I E.L. EACH ACCIDENT 1,000,000 $ (Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE $ 1,000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ Each Claim $1,000,000 Professional Liability E ANE1742233.19 07/01/2019 07/01/2020 Aggregate Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER City of Gilroy, its officers, officials, employees and volunteers 7351 Rosanna Street AUTHORIZED REPRESENTATIVE CA 95020 J"s • @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. f } ADDITIONAL IVNAL. l:UV IK"AI GGj Ref # Description Coverage Code Form No. Edition Date Pers/Adv Injury Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 2,500 Ref # Description Coverage Code I Form No. Edition Date Property damage -single limit PD Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 2,500 Ref # Description Coverage Code Form No. Edition Date Medical payments MEDPM Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 5,000 Ref # Description Coverage Code Form No. Edition Date Experience Mod Factor 1 EXP01 Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc. POLIGY-W U.MDC-rv.:CF2GL00035-1 91 TH - -1-5 SO THE- L C ']T"91�FUULV� 1 -("NA INSU RW �:� OMEfM. ESSt� $CHEW U�U PERSON OR 0RQA.NJZ":0N This eMd: Mgement Madifig-S fn,suvgnnepmvidad ando-rThip h rwifha- M�!� plqtiff W�jq N iO6 0 A-4,040n 11 Ou'O.o'd P ii.(�) Any aerson ;0r,_pr.Ganq*z0i_0_n -.that-enteredInbo. a fa with am _,s xlp._r -q,ul,ring ouoh or or,g ani�,�tfon,(sf to bG numad%Jaz an 'th ft, - ditipill4ong 0 _WJ W. Q �sae �e N.-p.m. piref or ,mntTre of, op-croitono- many- ldoiLion AM zat R( O rluCi4scho I p -ijasure A. Sj�dldlll 11 T�=..,.WW Is, Aft IT-:11 1 0 0.1,end -to v A tie poll', , a ba, etb A.J.', -." I d't in,' �Qfl 'T SU, Ps. PPMON.)- n -k,6 r aAhl -/-�a in: F�v _A ml, n frtit hl if .,Atl Y W -if"f dfl� T. ORQft� _Oif 4pbilw Y da, M, a*g, 6. or- �!'P.ersonaf and a 8V A sing JnJur .1 ; , f I _t. V P W4. `.i Yf YbOr ( -,3, myour b0 t; !Jn,thv�, gif flJJ go-h ovlt "your flIA-1, 8_401110ibal 11T*Ul�e a u lt� de,�ign above: a eve- H"ovQm IT. Thb., in-s-461h.66, Aff-drdlM ld sud-ft It:cvragCvd d ...... .... qyro,, Y, tha, oh'' t"ta ot air agreement ta t s the f6l WiTig additlo 4iee 1, al ins.urk",, 10 nW RX I�T T, his :insurance do -es odliyv]-[nfuryv, or I' ;ill: w6tk---,, fticlud''in-9 r"n".6bb, .5 e n, bf �Ji4 1. such VIT "flir `h 11 'k br 6.-rlj lh-e project(Otoor, -perform ttan s"O V_fC 0, htbMhO&lrepjfr�, 1o_b0. pe1or4 or J� ti h of lh6_= :66--v . a I r . q h: ' ti6�niz� Qi; �b-pqh completed -j or. 2. That portfon.. of,_`Nourwofk" out: of, Whieft.the Itifury-or jdamnggiq gmias- fias--- ��o any to ifs -V,r"Q 4by-r .r org,qn, . Jg I Poon P ab&n MkOn-k illi-d'ft;a'ho J-71 b v Re Ver n for p rim `art 0411 As:a, , 'd h 68amd prdlect. pa tie C _0 2,01:0-04 13 0 1 _,'%irae °Ser__.Vices. Office Page 1 ofl 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 Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 F�OLJ,Uyr J�JUJV181�-k, CF2GL00035-191 LIASUY W, -4 7,0.1 THM 04DORSEM. NT CHANGES THE POCUCOY, -KMASL PITA b IT CAREFULUf. Th 1.q. andpos'p. MvenT_m ndittes; ]'n,,z,1jrancp-- pro-Vioed f-.1nd -�'hp 1Q1-(*OW'pg, GOMMERGK,QENJ�.I ,L LIABILITY 00\117-M31-:11n',ART -1. JT '75PART RL YCOA/ FTF�n onc P'A. [7, 1A .- 11 .. E�RAG S CNEDULE Na'ryte Of Locatlon.A-ad Qescripfion Of Oom- Weted Op r, la s 41NY PEI�3,01q' 'OR OP,-GA-bT1-ZAT1tN W 019, 'FOR I c"IT T, fit - THAT E--1NT1JPXQ.` 1,1MTQ.- k WAXVT�N NAMED 1-NSUREDIS Tg-,'GPlz, .WAS GONTRIAOT WV�Jl 1A PEr�PORM)�D FOR 5UCh PE-,3M;5,) ... I - , , � 1, TI�1,,D-, J�ST _MED: T'NEMPRF.Ln ?,ROTJT'R:TT\T.(-, qTM-T4 PFRqnl\T 0- % 1p, ANY U.- R G-, 'A N T.Z AT T 13t QO1YW'hETED OPERATIOnS. NAMED AS AN ADDITIONAL !'N8U!'�D. Rnformatio n requ-frecd to co'Mptete- tfti'8, 80h; edu ha, if riot sh bW-n 666V.�-1�e0,.1-Will 'fie 5h6 n,in. - b1etons A. 3�ioiqo H -Why IsAp. .191sured ed tp- t 4 ms�,Urood -h rsoft dir Pion hQ bovt ,anlly -W . ith respect. to R861-fty, f6r "Modify injury' .or , a t, by� ,PFq,PQq,d-OMi4g�,a" pau5,e vvh-q](,,e car in pq "Your Work" -at tht 166-atibb ftbi.g - h6teld airv'd d-e.$trfbod ih the atfiedule, of this: ieradqrs,6maiii iPrF r - 6 H for t.h-.-;. a inSUrp-d an lfu,-Up�Od 'ij! IN. "p.rs dub,1560MPeted bpOjaflons haz-aiff% H!ow,c.vo,r-. tnsu.red Y,)nl-y Epprtpm tn-- the exterit permitted by law;, and, 2. If Quyemge -prQ ylde-o-tQ the aodfttQ.rTat- Insured, is.- tdqui.rdd 6y coilract & bgreame-At, tho affordtct to 5udh, -addltbafi�dl ins.ur-6d Wiff hot be bre-2der-- ffinn th-4 which ybit si"p -requtred-, lay -the -contract or, 8gr18,8m8.n-t, to -ProvWde 'for such ffis'prod, 4�0 �U 37.04 1-3 ICY I Wiranco Satvloi�8-1 Ottkte, ffic, 20I.Q. P09-e 1 of 2 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 37 04 13 ❑ INSURED COPY COMMERCIAL GENERAL LIABILITY CG 20 p'I 0413. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • • • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. C Insurance Services Office, Inc., 2012 Page 1 of 1 INSURED COPY POLICY NUMBER. CF2GL00035-191 COMMERCIAL GENERAL LIABILITY 00 24 04 05 09 WAIVER OF TRANSFER OF R1 ' GHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: UOMMERCIAL GENERAL LIABILI I Y COVERAGE PART PF=1JCT8/,COMPLETED OPERATIONS LIABILITY COVERAGF, PART SCHEDULE Nan�e Of Person Or Oro'ahization. ALL PERSONS OR ORGANIZATIONS AS RZO-UiRED BY WKill'TEN CONTRA -ACT WITIJ TRFI, N1 MZT? INSURED. THE WRITTEN CONTRACT MUST BE STGNFD PRTOR TO TRP DATE OF THE "SO.DLLY TINJURY"I �`PROP-ERTY- DAMAGE"', OR "PZRS0N)\L AND ADV-FM-TTSTNC I/ information required to complete thIs Schedule, if. not 8- howri. above, Will be shown in the. Declaration,,,, The following Is added to Paragraph .8. Transfer Of Rights Of Recovery Against Others To Us of Secflon IV — Conditions: We waive any right of recovery we, may have against the person or organization 8hoWn in the SGhedulo alcove beoEtuso Of jJay.1T'1Qr1U; we, make for injury or damage arlshg out of your ongoing operations or "your work" done- under a contract with that person or orgonizatloq and included [n the "Products- 6ornpletod operations hazard". This waiver applies .only to the, parson or organization shown In thy; Schedule above. CC 24 04 09 09 Q In8urance SerVic&s Office, Inc., 2008 Page 1 of 1 13 MURED GCFY h THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT WITH CAP This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: ANY PROJECT FOR WHICH THE NAMED INSURED PERFORMS WORK OR OPERATIONS. Designated Construction Project General Aggregate Limit Cap: $5, 000, 000 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" under SECTION I — Coverage A, and for all medical expenses caused by accidents under SECTION I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construc- tion project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. However, the separate Designated Construction Project General Aggregate Limit(s) are subject to a Desig- nated Construction Project General Aggregate Limit Cap in the amount shown in the above Schedule of this endorsement. The Designated Construction Project General Aggregate Limit Cap is the most we will pay under the Designated Construction Project General Aggregate Limit for all designated construction pro- jects combined. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall re- duce the Designated Construction Project General Aggregate Limit for that designated construction project and the Designated Construction Project General Aggregate Cap. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construc- tion Project General Aggregate Limit for any other designated construction project shown in the Schedule above. However, such payments for damages and medical expenses included in the Designated Construc- tion Project General Aggregate Limit for all designated construction projects combined will reduce the Des- ignated Construction Project General Aggregate Limit Cap. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. E:CG25 529 01 10 Copyright Everest Reinsurance Company, 2010 Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED COPY B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under SECTION I — Coverage A, and for all medical expenses caused by accidents under SECTION I — Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall re- duce the amount available under the General Aggregate Limit or the Products -Completed Operations Ag- gregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any pay- ments for damages because of "bodily injury" or "property damage" included in the "products -completed opera- tions hazard" will reduce the Products -Completed Operations Aggregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then re- started, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or time- tables, the project will still be deemed to be the same construction project. E. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. F. If this policy contains any retained limits, Self Insured Retentions, deductibles or similar provisions, such provisions shall also apply to this endorsement. ECG 25 529 01 10 Copyright Everest Reinsurance Company, 2010 Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED COPY PI-CA-003 (04/14) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. SECTION 11— COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended by adding the following: The following are also "insureds": Any person or organization for whom you are required by an "insured contract" to procure "bodily injury" or "property damage" liability insurance arising out of the operation of a covered "auto" with your permission. However, this additional insurance does not apply to: 1. The owner or anyone else from whom you hire or borrow a covered "auto." This exception does not apply if the covered "auto" is a "trailer" connected to a covered "auto" you own; 2. Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her household; 3. Anyone using a covered "auto" while he or she is working in a business of selling, servicing, repairing, parking or storing "autos" unless that business is yours; 4. Anyone other than your "employees," partners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employees," while moving property to or from a covered "auto"; or 5. A partner (if you are a partnership), or a member (if you are a limited liability company) for covered "auto" owned by him or her or a member of his or her household. B. The "insured contract" must be in effect during the policy period shown in the Declarations and must have been executed prior to the "bodily injury" or "property damage". C. This person or organization is an "insured" only to the extent you are liable due to your ongoing operations for that "insured", whether the work is performed by you or for you, and only to the extent you are held liable for an "accident" occurring while a covered "auto" is being driven by you or one of your employees. D. There is no coverage provided to this person or organization for "bodily injury" to its employees or for "property damage" to its property. E. Coverage for this person or organization shall be limited to the extent of your negligence or fault according to the applicable principles of comparative negligence or fault. F. The defense of any claim or "suit" must be tendered by this person or organization as soon as practicable to all other insurers which potentially provide insurance for such claim or "suit". G. A person's or organization's status as an "insured" under this endorsement ends when your operations for that "insured" are completed. Page 1 of 2 PI-CA-003 (04/14) H. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached. In addition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement to add any "insured," or to procure insurance. I. The following additional exclusions apply: The insurance afforded to any person or organization as an "insured" under this endorsement does not apply to "loss": 1. Which occurs prior to the date your contract is effective with such person or organization; 2. Arising out of the sole negligence of any person or organization that would not be an "insured" except for this endorsement; or 3. Which occurs after you returned the leased or rented "auto' to the lessor or the policy period ends, whichever occurs first. Page 2of2 PI -CA- 001 (09/15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE ELITE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART Following is a summary of the Limits of Insurance and additional coverages provided by this endorsement. For complete details on specific coverages, consult the policy contract wording. Coverage Applicable Who is An Insured Board Members Newly Acquired Entities Designated Insured Lessor of Leased Autos Cost of Bail Bonds Reasonable Expenses — Loss of Earnings Fellow Employee Coverage Towing Glass Breakage (Windshields and Windows) Transportation Expenses Hired Auto Physical Damage — Loss of Use Hired Auto Physical Damage Personal Effects Rental Reimbursement Accidental Discharqe — Air Bag Electronic Equipment Original Equipment Manufacturer Parts Replacement Auto Loan / Lease Gap Coverage One Comprehensive Coverage Deductible Per Occurrence Notice of and 'Knowledge of Occurrence Blankef-Waiver of Subrogatibn�. Unintentional Errors or Omissions Mental Anguish — Bodily Injury Redefined Page Limit of Insurance # 2 Included Included Included Included $5,000 2 $500 per day 2 Amended 3 $100 per disablement 3 No deductible applies 3 $100 per day / $3,000 maximum 3 $100 per day / $1,000 maximum 3 ACV or repair or replacement of the 4 vehicle whichever is less $500 4 $100 per day / 30 days 4 Amended 4 $1000 5 Included 5 Amended 5 Amended 6 Amended 7 Amended (as;;required by written contraW 7 Amended 7 Amended 7 Coverage extensions under this endorsement only apply in the event that no other specific coverage for these extensions is provided under this policy. If such specific coverage applies, the terms, conditions and limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted in this endorsement. Any deductible listed in the Auto Declarations Page will apply unless specific deductible provisions are set forth under a coverage enhancement below. Page 1 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) III. BUSINESS AUTO CONDITIONS A. Notice and Knowledge of Occurrence SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss, Paragraph a. is deleted in its entirety and replaced with the following: a. In the event of "accident," claim, "suit" or "loss," you must give us, or our authorized representative, prompt notice of the "accident" or "loss." Include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. Your duty to give us or our authorized representative prompt notice of the "accident" or "loss" applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. B. Blanket Waiver Of Subrogation SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us, is amended by adding the following exception: However, we waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury" or "property damage" arising out of the operation of a covered "auto" when you have assumed liability for such "bodily injury" or "property damage" under an "insured contract." C. Unintentional Errors or Omissions SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 2. Concealment, Misrepresentation, Or Fraud is amended by adding the following: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. IV. DEFINITIONS A. Mental Anguish SECTION V — DEFINITIONS, C. "Bodily injury" is amended by adding the following: "Bodily injury" also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness, or disease. Page 7 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO EFFECTIVE APRIL 1, 2019 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING APRIL 1, 2020 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME SAFETY NETWORK, INC. 2 310 N LARK I N AVE FRESNO, CA 93727 WF HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY .COVERED BY THIS POLICY. WE WILL NCT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WOUK' UNDER A WRITTEN CONTRACT THAT REQUIRES NQU TO OBTAIN THIS AGREEMENT FROM US. TEE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2,00°1 OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR URGANIZATTON JOB DESCRIPTION ANY PERSON .OR ORGANIZATION BLANKET WAIVER OF FOR WPOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER REP 04 9094397-19 RENEWAL NE 3-13-74-07 PAGE 1 OF 1 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: Z AUTHORIZED REPRESENTWIVE SCIF FORK 10217 (REV.7-2014) APRIL 3, 2019 PRESIDENT AND CEO 2572 OLD DP 917 A►C" CERTIFICATE OF LIABILITY INSURANCE DATE(M6/2019 Y) �,,,�,,.,..-�� I 06/06/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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(lies) 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 I CONTACT Joseph Lara NAME: Cal -Valley Insurance Services, Inc. I AHONN . Ext): (559) 225-1300 I �A X, No): (559) 225-8966 5070 N. Sixth St. #155 I E-MAIL Josephl@calvalleyinsurance.com ADDRESS: License #0733383 INSURER(S) AFFORDING COVERAGE I NAIC # Fresno CA 93710 I INSURERA: Everest National Insurance Co I 10120 INSURED I INSURER B : Philadelphia Indemnity Insurance Company I 18058 Safety Network, Inc.; Safety Network Traffic Control Services, Inc. I INSURER C : Endurance Risk Solutions Assurance Co. I 43630 Safety Network Traffic, Inc. I INSURER D : State Compensation Ins Fund I 35076 2310 N. Larkin Ave I INSURER E : Fresno CA 93727-8644 I INSURER F : COVERAGES CERTIFICATE NUMBER: 19/20 PCKG,GL,EX,WC 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 AUUL SUdK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER (MM/DD/YYYY) (MM/DD/YYYY) I LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR A LIMITAPPLIES PER: �GEEN'LAGGREGATE FX PRO ❑ POLICY JECT LOC OTHER: AUTOMOBILE LIABILITY X ANYAUTO B OWNED SCHEDULED _ AUTOS ONLY AUTOS HIRED NON -OWNED _ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR C X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE D OFFICER/MEMBER EXCLUDED? Y N/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below CF2GL00035-191 PHPK1990526 EXC30000041103 06/06/2019 06/06/2020 06/06/2019 06/06/2020 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL&ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) I EACH OCCURRENCE 06/06/2019 06/06/2020 I AGGREGATE $ . 1,000,000 $ 100,000 $ 10,000 $ 1,000,000 $ 2,000,000 $ 2,000,000 $ 1,000,000 $ 5,000;000 $ 5,000,000 XI PER STATUTE I I EERH EACH H ACCIDENT $ 1,000,000 909439719 04/01/2019 04/01/2020 E.L. 1,000,000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate issued as evidence of coverage maintained by named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy, its officers, officials, employees and volunteers ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 I �1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # Description I Coverage Code Form No. I Edition Date Pers/Adv Injury Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 2,500 Ref # Description Coverage Code Form No. Edition Date Property damage -single limit PD Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 2,500 Ref # Description Coverage Code Form No. Edition Date Medical payments MEDPM Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 5,000 Ref # Description Coverage Code Form No. Edition Date Experience Mod Factor 1 p EXP01 , Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc. POLICY NUMBER: CF2GL00035-191 COMMERCIAL GENERAL LIABILITY CG 2010 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) ANY PERSON OR ORGANIZATION THAT ENTERED INTO AWRITTEN CONTRACT WITH THE NAMED INSURED REQUIRING SUCH PERSON (8) OR ORGANIZATION(S) TO BE NAMED AS AN ADDITIONAL INSURED WITH RESPECT TO THE NAMED INSUREDS PERFORMANCE OF OPERATIONS AT ANY LOCATION ON BEHALF OF SUCH PERSON(S) OR ORGAN IZAT ION(S). X Section If — 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. Location(s) Of Covered operations CG 2010 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 3 INSURED COPY B. With respect to the additional insureds, exclusions apply: insurance afforded to these the following additional 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. Page 2 of 3 0 Insurance Services Office lnc,, 2012 GG 20 10 04 13 INSURED COPY 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 Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the CG 2010 0413 0 Insurance Services Office, Inc., 2012 Page 3 of 3 ❑ INSURE❑ COPY POLICY NUMBER:, CF2GL00035-191 COMMERCIAL GENERAL LIABILITY CG 24 37 0413 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT (CAREFULLY. ADDITIONAL. INSURED - OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS This endorsement modifies insurance provided under the fallowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization(s) ANY PERSON OR ORGANIZATION THAT ENTERED INTO A WRITTEN CONTRACT WITH THE NAMED INSURED REQUIRING SUCH PERSON (S) OR ORGANIZATION(S) TO BE NAMED AS AN ADDITIONAL, INSURED. SCHEDULE Location And Description Of Completed Operations ANY LOCATION FOR WHICH THE NAMED INSUREDrS WORK WAS PERFORMED FOR SUCH PERSONS} OR ORGANIZATIONS) FOR ANY COMPLETED OPERATIONS. jinformation 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" or „property damage" caused, in whole or in part, by "your worV' at the location designated and described in the Schedule of this endorsement performed for that additional insured and included In the "products -completed operations hazard". 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. CIS 20 37 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 2 INSURED COPY B. With respect to the insurance afforded to these additional Insureds, the following is added to Section III — Limns 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 shalt not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 C Insurance Services Office, Inc., 2012 GG 20 37 0413 ❑ INSURED COPY Policy Number: CF2GL00035-191 COMMERCIAL GENERAL. LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE MAD IT CAR1EFULLY. PR.I ARYAND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY OVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following Is added to the Other Insurance Condition and supersedes any . provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other Insurance available to an additional insured under your policy provided that: j1) The additional insured is a Named Insured under such other insurance, and CG 20 01 0413 (2) You have agreed In writing in a contract or agreement.. that this insurance would be primary and would not seep contribution from any other Insurance available to the additional insured. Q insurance Services Office, Inc., 2012 Page 1 of 1 ENSURED COPY Policy Number: CF2GL00035-191 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT WITH CAP This endorsement modifles Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: ANY PROJECT FOR WHICH THE NAMED INSURED PERFORMS WORK OR OPERATIONS. Designated Construction Project General Aggregate Limit Cap: (If no entry appears'above, Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under SECTION I — Coverage A, and for all medical expenses -caused by accidents. under SECTION I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above; 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construc- tion project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations, However, the separate Designated Construction Project General Aggregate Limit(s) are subject to a Desig- nated Construction Project General Aggregate Limit Cap in the amount shown in the above Schedule of this endorsement. The Designated Construction Project General Aggregate Limit Cap is the most we will pay under the Designated Construction Project General Aggregate Limit for all designated construction pro- jects combined. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury"or "property damage" included In the "Products -completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits", 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall re- duce the Designated Construction Project General Aggregate Limit for that designated construction project and the Designated Construction Project General Aggregate Cap. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construc- tion Project General Aggregate Limit for any other designated construction project shown in the Schedule above. However, such payments for damages and medical expenses included In the Designated Construc- tion Project General Aggregate Limit for all designated construction projects combined will reduce the Des- ignated Construction Project General Aggregate Limit Cap. 4. The limits shown In the Declarations for Each Occurrence, Fire Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown In the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit, ECG 25 529 0110 Copyright Everest Reinsurance Company, 2010 Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED COPY B. For all sums which the insured becomes legallyobligated to pay as damages caused by "occurrences" under SECTION I —Coverage A, and for all medical expenses caused by accidents under SECTION I —Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above; 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall re- duce the amount available under the General Aggregate Limit or the Products -Completed operations Ag- gregate Limit, whichever Is applicable,, and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any pay- ments for damages because of "bodily injury" or "property damage" included In the "products -completed opera- tions hazard" will reduce the Products -Completed Operations Aggregate Limit, and not reduce: the General Ag- gregate Limit hor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then re- started, or If the authorized contracting parties deviate from plans, blueprints, designs, specifications or time- tables, the project will still be deamed to be the same construction project. E. The provisions of Section Ill - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. F. If this policy contains any retained limits, Self Insured Retentions, deductibles or similar provisions, such provisions shall also apply to this endorsement. ECG 25 529 0110 Copyright Everest Reinsurance Company, 2010 Page 2 of 2 Includes copyrighted material of Insurance Services {office, Inc., with Its permission. INSURED COPY POLICY NUMBER: CF2GL00035-191 COMMERCIAL GENERAL LIABILITY CG24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO U 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: ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE STONED PRIOR TO THE DATE OF THE "BODILY INJURY", ""PROPERTY DAMAGE", OR mPERSONA.L AND ADVERTISING INJURY" . Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following Is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section Ill — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or `your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above, CG 24 04 05 09 *Insurance Services Office, Inc., 2008 Page 1 of I El INSURED COPY