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Overhead Door Co. - Insurance Certficate
Al..OR D0 C" CERTIFICATE OF LIABILITY INSURANCE DATE (M MID DIYYYY) 11/2/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements), PRODUCER CONTACT Candi Renteria NAME: Leavitt Central Coast Insurance Services HONK (831) 424 -6404 FAX No, (831)424 -0140 License #OG39781 EMAIL A DDRESS: candi- renteria @leavitt. corn 950 East Blanco Rd, Suite 103 INSURER (S) AFFORDING COVERAGE NAICq INSURER A:AmTrust Insurance Company a15954 Salinas CA 93901 INSURED INSURER B :PeerlGSS Insurance Company 24198 INSURERC :Toga Insurance Co m an 18031 Overhead Door Company of Santa Clara INSURER D:C ress Insurance Company 10855 Valley INSURER E: $ 2,000,000 733 Sanborn Place INSURER F: Salinas CA 93901 COVERAGES CERTIFICATE NUMBER:15 -16 OHD SANTA CLARA 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF ! POLICY EXP M /DD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I x I OCCUR no eacl for residential TMI6570 11/1/2015 11/1/2016 EACH OCCURRENCE $ 1,000,000 DAMAGIETO RENTED PREMISES Eaoccurrance $ 100,000 MED EXP (Ary one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENT- AGGREGATELIMITAPPLIESPER: 7--7 PRO- POLICY JEC 7 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COVPIOP AGG $ T 2,000,000 $ B AUTOMOBILE JX LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS $1,000 COMP X $1,000 COLL BAA56209484 11 /1 /2015 11/1/2016 COMBINEDI SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ C X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE XL660651101 11/1/2015 11/1/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,0 0 000 DED RETENTION$ $ WORKERS COM PEN SATION AND EMPLOYERS' LIABILITY YIN ANY PIROPRIETORIPARTNERIEXECUTIVE I'—"j (Mandatory In MI EXCLUDED? L_J (Mandatory In NTI) Ifyes, describe under DESCRIPTION OF OPERATIONS below N JA OVWC702114 6/6/2016 6/6/2017 X STATUTE OERH- E.L. EACH ACCIDENT $ 11000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) The City of Gilroy, its officers and employees are included as Additional Insureds per the attached endorsement form City of Gilroy Attn: Rick Brandini 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2014101) INS025 (20t431) PION 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 ancis Svedas /CARENT ;;3, � © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 148 I C.4 n -1 A) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA BLANKET BASIS 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.) The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such remuneration. The minimum premium for this endorsement is $350. This agreement shall not operate directly or indirectly to benefit anyone not named In the Schedule. SCHEDULE BLANKET WAIVER Person /Organization Blanket Waiver — Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Job Description Waiver Premium All CA Operations 2134.00 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 06/06/2016 Insured Overhead Door Co. Insuranca Company Cypress Insurance Company WC 99 04 10B f Ed. 9 -14) POIIcy No. OVWC702114 Endorsement No. Premium $ Countersigned by r R - AcoRV CERTIFICATE OF LIABILITY INSURANCE `... DATE (MM/DDNYYY) 11/2/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such -endorsement(s). PRODUCER Leavitt Central Coast Insurance Services License #OG39781 950 East Blanco Rd, Suite 103 Salinas CA 93901 CONTACT Candi Renteria NAME: PNONE (831)424 -6404 is No: (831) 424 -0140 Dss.candi- renteria @leavitt.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:AmTrust Insurance Company a15954 INSURED Overhead Door Company of Santa Clara Valley 733 Sanborn Place Salinas CA 93901 _ _ INSURERB:Peerless Insurance Companv 24198 INSURERc:Topa Insurance Company 18031 INSURER D:C ress Insurance Company 10855 INSURER E: EACH OCCURRENCE INSURER F A COVERAGES CERTIFICATE NUMBER:15 -16 ORD SANTA CLARA 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. ILTR. LTR TYPE OF INSURANCE INSD ADDLSUSR POLICY NUMBER MP�DY EFF MOMIIDD EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X7 OCCUR DAMAGE To PREMISES E. occurrence $ 100,000 MED EXP (Any one person) $ 5,000 no excl for residential TEN16570 11/1/2015 11/1/2016 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE_PRO- LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY g7 LOC PRODUCTS - COMP /OPAGG $ 2, OOO,p 000 $ OTHER: - - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS. SAA56209484 11/1/2015 11/1/2016 BODILY INJURY (Per person) $ - BODILY INJURY (Per accident) $ X PROPERTY $ HIRED AUTOS ' X AUTOS WNED X $ $1,000 COMP X $1,000 COLL UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 C X EXCESS LIAB CLAIMS -MADE 1 11 DED RETENTION $ XL660651101 11/1/2015 11/1/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X PER OTH- STATUTE _ ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $. 1,000,000 D OFFICER/MEMBER EXCLUDED? LJ (Mandatory In NH) NIA OVNC600900 6/6/2015 6/6/2016 1 E.L. DISEASE , EA EMPLOYE $ _ 1.,.000, 000 If yyees, descrbe under DESCRIPTION' OF OPERATIONS below - - - - -- E.L. DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) The City of Gilroy, its officers and employees are included as Additional Insureds per the attached endorsement form City of Gilroy Attn: hick Brandini 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 Francis Svedas /CARENT%'? Lw ©1988 -2014 ACORD CORPORATION. All rights reserved. '`ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) POLICY NUMBER: TEN -16570 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEN0216 0114 PRIMARY AND NON- CONTRIBUTING INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4: Section IV: Commercial General Liability Conditions 4. Other Insurance: d. Notwithstanding the provisions of sub - paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a claim or "suit" caused in whole or in part by the Named Insured's negligence, this insurance shall be primary and any other insurance maintained by the additional insured flamed as the Third Party below shall be excess and non- contributory. The Third Party to whom this endorsement applies is: Absence of a specifically named Third Party above means this endorsement applies only to those third parties required to be named as an Additional Insured as Primary and Non - Contributory coverage specified in a written contract with the Named Insured under this .policy, entered into prior to the "loss" or "occurrence". All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0216 01 14 Includes copyright material of Insurance Services Office, Inc. Page 1 of 1 POLICY NUMBER: TEN -16570 COMMERCIAL GENERAL LIABILITY CO 20 3107 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to loss or "occurrence ". Information required to complete this Schedule if not shown above, will be shown in the Declarations. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by 'Your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: TEN -16570 COMMERCIAL GENERAL LIABILITY CG 2010 o7 04 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 Organ ization s : Locations Of Covered Operations Only those parties required to be named as an Addi- ALL tional Insured in a written contract with the Named Insured under this policy, entered into prior to loss or "occurrence ". Information_required to complete this Schedule if not shown above will be—shown—in the Declarations. A. Section 11 — 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) desig- hated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 p OVERH -1 OP ID: 1C CERTIFICATE 'OF LIABILITY INSURANCE DATE (MMIDD/YYM 10/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE_ OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ -- PRODUCER Phone: 831-42 Leavitt ,Central Coast Ins Serv, .. License #OG39781 Fax: 831 X24-0140 950'East Blanco Rd Ste -103'_ _ . Francis�Svedas�NB After 3-1 -10 CONTACT NAME: Candl Renteria/Francls Svedas - -- PHONE FAX E><t .831- 424 -6404 .. . - - No): 8314240140 ADDRESS: candi- renteria (eaVi#Lcom _ INSURER(S) AFFORDING COVERAGE, _ _ . NAIC 0 - ._.. INSURER A : AMTrust intn'tl Underwriters _ . 15954. INSURED Overhead Door Company Of Santa Clara Valley ID402410 1266 Lawrence Expressway Sunnyvale, CA 94089 INSURER B: Peerless Insurance Company 24198 INSURER C Jo a Insurance corn'pany 18031 INSURER D : Benchmark Insurance Com pany 41394 INSURER E: MED EXP (Any one person) INSURER F PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF. SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R TYPE OF INSURANCE POLICY NUMBER M POLICY APAM/p LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR no excl for resid X PAL106363100 11/0112014 11/01/2015 EACH OCCURRENCE $ 1,000,00 - PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00_ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PI APT- LOC PRODUCTS - COMP /OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY rX ANYAUTO ALL OWNED SCHEDULED ALIT - ,, .,, X HIRED AUTOS X .AUTOS X - 1.0.60 COMP X 1 000_COLL BA8537683 1110112014 - COMBINED SINGLE LIMIT Ea accident 1X000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $. . C UMBRELLA LIAB LXEXCESS uAB X OCCUR CLAIMS MADE 6606511 11/01/2014 11/01/2015 EACH OCCURRENCE $ 1,000,0 AGGREGATE $ 1,000,00 D- RETENTION Prod/Com $ 1,000,00 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NN) if yes, describe under DESCRIPTION OF OPERATIONS below NIA CSTS005296 061OW2014 061OW2015 X WC STATU - OTH- E.L. EACH ACCIDENT _ $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00- - E.L. DISEASE- POLICY LIMIT $ 1,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddMonal Remarks Schedule, V toms space Is required) The City of Gilroy, its officers and employees are included as Additional Insureds per the attached endorsement form CITYGIL City of Gilroy Attn: Rick Brandin! 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.POUCY PROVISIONS. All riahts reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Policy: PAL1053631 00 COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY.- PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or or- ganization for whom you are performing operations when you and such person or. organization have agreed in writing in a contractor agreement that SUCK person or organization be added' as, an addi- tional insured on your policy. Such person or or- ganization is an additional insured only with re- spect 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. A,person's or organization's status,as an additional insured under this endorsement <ends when your operations for that additional insured,. are complet- ed. B. With respect to the insurance afforded to these additional `insureds, the following : additional exclu- sions apply. This insurance does not apply to 1. "Bodily "!injury", "property damage" or "personal and advertising injury"-.an 'ng out of the.render- ing. of,' or the f6ilure to. rerider,, any professional architectural, engineering or surveying ser- vices,.includng: ; a. The � preparing, approving, or failing. to pre- pare-.pr ;approve, maps, .shop drawings, opinions,, reports, surveys, field orders. change orders' ar drawings and specifica- tions; or b. Supe nrisory.,.. inspection,. architectural or engineering activities. 2. "Bodily `injury° or "property :damage" occurring after: a. All work, including , materials, parts or equipment furnished'",. in connection with such work, on the project (other than ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional in- sured(s) at the location - of the covered operations has been completed; or b. 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 subcontrac- tor engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER PAL105363100 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS = COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Blanket as required by written contract. Blanket as required by written contract. - It is agreed that such insurance.as.is afforded by this, policy for the benefit of the additional Insured shown shall.be primary insurance, and any other Insurance maintained by the additional Insured(s) shall be excess and noncontributory as respects any claim, loss or Ilabil- ity allegedly arising out of the operations of the named insured, provided however that this insurance will not apply to any claim, loss or liability Which: is dete_'hnined to be solely the result of the additional nsured's riegII- gence or solely the additional'insui4Ls respoRSlbility. Information required to complete th is Schedule, if not shown above, will be shown in the Declarations.:-* - Section 11 — Who Is An Insured is .,aimanded; to' include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for' "bodiy, injury' or "property dam- age" caused, in whole or in part, by "your work" at - .the.location designated and described in.the sched- ule of this endorsement performed for that additional insured and 'included in the "products - completed operations hazard ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: PAL1 05363100 IL 12 01 11 85 THIS ENDORSEMENT CHANGES THE POLICY: PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change Number 1 POLICY NUMBER POLICY CHANGES EFFECTIVE COMPANY PAL1053631 00 11/01/2014 AmTrust International Underwriters Limited NAMED INSURED AUTHORIZED REPRESENTATIVE Overhead Door Company of Salinas Overhead Door Company of Santa Clara Valley COVERAGE PARTS AFFECTED CHANGE $0.00 Additional Premium/ Effective ,j the wording on Form GL330027 has been amended to read as follows: .. l ditional;ingured Primary and Non Contnbutory. Clause to the'extent that this'insurance is afforded to'an • additional Inst.Ad under•'this li ,_ Y .... policy, such insurance ,. 'hall apply as ;primary and not contributing with any. insurance.:camed b; u6 additional insured, but only f rcGUired'oftFie Named Insured by written cdntract Pidthingpse'peEn a twined shall be, held to.vraive, wry„ alter or extend any condition or provision of -the policy, othar,than aa: above stated. No additional: premium associated with this endorsement. IL 12 01 1185 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 1 ❑ Copyright, ISO Commercial Risk Services, Inc., 1983 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY AMENDMENT TO OTHER INSURANCE PRIMARY INSURANCE This insurance modifies insurance provided under the follo%A(ing: COMMERCIAL GENERAL LIABILITY COVERAGE FORM - Paragraph -4.a.. of Section IV — Commercial General Ua . bifity Conditions is deleted and replaced by the following: 4. Othet Insurance nsuted for.- a loss cover under If other valid and coilectible insurance is available to ft 1 10, Coverages A or B of this Coverage Part, our obligations are. limited as follows: a. Primary Insurance This insurance is primary except when b. below applies. If. this insurance is primary, for—, all claims except those arising out of- 'work performed by the Named Insured, our.: obligations are not affected unless any of the other insurance is also primary. Then, we .will share with all that other insurance by 66 method:described in c. below. For claims arising out of work performed by the Named Insured the coverage afforded herein shall be primary in relation to any policies carried by any person or organization to whom or to which the Named Insured is obligated by virtue of a: written contract to secure primary insurance, and then only as required by said contract.. GL330027 Page 1 of 1 Ed 0908