Northcross, Hill & Ach, Inc. - Insurance Certificate
.
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
TM, 02/16/2011
PRODUCER Phone: (858) 350-0555 Fax: (858) 350-0556 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
K T L BUSINESS INSURANCE SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
322 8TH STREET SUITE # 101 HOLDER. THiS CERTIFICATE DOES NOT AMEND, EXTEND OR
DEL MAR CA 92014 ALTER THE BY THE Dn. .('ICe> RF'I IW
INSURERS AFFORDING COVERAGE NAIC#
AQency LiC#: 0086601 --
INSURED INSURER A: Hartford Casualty Insurance Company 29424
NORTHCROSS HILL & ACH, INC. INSURER B: Hartford Insurance Company of the Midwest 37478
999 5TH STREET SUITE 560 INSURER c: JAMES RIVER INSURANCE CO
SAN RAFAEL CA 94901
INSURER D:
INSURER E:
COVERAGES
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, AGGREGATE LIMITS SHOVIN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR I~~} TYPE OF INSURANCE POLICY NUMBER P~ii~:5~ POLICY EXPRA nON LIMITS
LTR DATE MMlDDNYl
GENERAL LIABILITY 72SBARB7400 05/01110 I 05/01/11 EACH OCCURRENCE $ 1,000,000
~
X COMMERCiAl GENERAL LIABILITY ~~~E~~E~E~~~nce) $ 300,000
~ ~ CLAIMS MADE[!J OCCUR
MED, EXP (Anyone person) $ 10,000
~
A PERSONAL & ADV INJURY $ 1,000,000
~
GENERAL AGGREGATE $ 2,000,000
~
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 2,000,000
I nPRO- n
POLICY JECT LOC
~OMOBILE LIABILITY 72SBARB7400 05/01/10 05/01/11 COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $ 1,000,000
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
A -
X HIRED AUTOS BODILY INJURY
- $
X NON-OWNED AUTOS (Per accident)
-
- I ~ROPERTY DAMAGE $
Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
~CESS I UMBRELLA LIABILITY EACH OCCURRENCE $
_J OCCUR D CLAIMS MADE AGGREGATE $
c-------
I $
R DEDUCTIBLE $
RETENTION $ $
I we STATU- I I OTHER
WORKERS COMPENSATION AND 72WECTL0431 11/13/10 11/13/11 X TORY LIMITS
EMPLOYERS' LIABILITY $ 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT
B --
OFFICER/MEMBER EXCLUDED? EL. DISEASE-EA EMPLOYEE $ 1,000,000
If yes, describe under EL. DISEASE-POLICY LIMIT $ 1,000,000
SPEctAl PROVISIONS below
OTHER: PROFESSIONAL LIABILITY 00011313-5 08/04/10 08/04/11 $1,000,000 EACH CLAIM
C $1,000,000 AGGREGATE
$15,000 DEDUCTIBLE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
THOSE USUAL TO THE INSURED'S OPERATIONS. CERTIFICATE HOLDER IS AN ADDITIONAL INSURED PER THE BUSINESS LIABILITY
COVERAGE FORM 550008, ATTACHED TO THIS POLICY.
CERTIFICATE HOLDER
CANCELLATION
CITY OF GILROY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
7351 ROSANNA STREET EXPIRATiON DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
GILROY, CA 95020-6141
AUTHORiZED REPRESENTATiVE \L KeL-
Attention: CHRISTINA TURNER
ACORD 25 (2001/08)
Certificate #
33710
@ACORD CORPORATION 1988
~
POLICY NUMBER: 72SBARB7400
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY ADDITIONAL INSURED
AMENDMENT OF CONDITIONS
This endorsement modifies insurance provided under the following:
SCHEDULE
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name of Person or Organization: The City of Gilroy
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.
With respect to insurance provided to the person or
organization shown in the Schedule of this
Endorsement, Condition 4. Other Insurance is
replaced by the following:
4. Other Insurance.
If other valid and collectible insurance is available
for a loss we cover under Coverage's A and B of this
Coverage Part, our obligations are limited as follows:
a. Primary Insurance
This insurance is primary and we will not seek
contribution from other insurance available to
the person or organization shown in the
Schedule of this endorsement except when b.
below applies.
b. Excess Insurance
This insurance is excess over any of the other
insurance whether primary, excess, contingent
or on any other basis:
Form HC 24 081194
(1) That is Fire, Extended Coverage, Builder's
Risk, Installation Risk or similar coverage
for "your work;"
(2) That is Fire Insurance for premises rented
to you; or
(3) If the loss arises out of the maintenance or
use of aircraft, "autos" or watercraft to the
extent not subject to Exclusion g. of
Coverage A (Section I).
When this insurance is excess, we will have no
duty under Coverage A or B to defend any claim
or "suit" that any other insurer has a duty to
defend. If no other insurer defends, we will
undertake to do so, but we will be entitled to the
insured's rights against all those other insurers.
When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the sum
of:
Page 1 of2
@ 1995 The Hartford Insurance Group
(Includes copyrighted material of Insurance Services Office
with its permission. Copyright, Insurance Services Office, 1995)
.... .. ~
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self-insured
amounts under all that other insurance.
We will share the remaining loss, if any, with
any other insurance that is not described in the
Excess Insurance provisions and was not
bought specifically to apply in excess of the
Limits of Insurance shown in the Declarations of
this Coverage Part.
Page 2 of 2
c. Method of Sharing
If all of the other insurance permits contribution
by equal shares, we will follow this method
also. Under this approach each insurer
contributes equal amounts until it has paid its
applicable limit of insurance or none of the loss
remains, whichever comes first.
If any of the other insurance does not permit
contribution by equal shares, we will contribute
by limits. Under this method, each insurer's
share is based on the ratio of its applicable
limit of insurance to the total applicable limits of
insurance of all insurers.
Form He 24 081194