Loading...
Tiburon - Insurance Certificate,alilb r " CERTIFICATE OF LIABILITY INSURANCE (MM/DDIYYYY) F5,11/2015 DATE TYPE OF INSURANCE 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 - -- Frank Crystal & Co., Inc. dba Crystal &Company 32 Old Slip CONTACT - NAME: Jonathan Thomas PHONE _ 7 FAX No: E -MAIL - ADDRESS:c rtificatess O n New York NY 10005 INSURERS AFFORDING COVERAGE NAIC# INSURER A i /112015 /1/2016 INSURED TTHOLD Palermo TT Holdings, Inc. 9477 Waples, Suite 100 San Diego CA 92121 B:Chubb Indemnity Insurance Company _ INSURER C:Indian Harbor Insurance Company 36940 INSURER D: INSURER E: PREMISES Ea occurrence) INSURER F: MED EXP (Any one person) $10,000 Guvr.kAGCJ GF-KTIFICATE NUMBER:3RQ1P99A RFVISIrnN NIIMRFR- THIS -IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. ILTR TYPE OF INSURANCE L INSR S B WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD - " - LIMITS. A GENERAL LIABILITY 36027336 /112015 /1/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR PREMISES Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1;000,000 GENERAL AGGREGATE $2;000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F7 PRO- X LOC jEcT PRODUCTS - COMP/OP AGG '$2000,000 $ A AUTOMOBILE LIABILITY 73588515 /1/2015 /1/2016 Ea accident $1,000,000 %( BODILY INJURY (Per person) $ ANY AUTO AUTOOS OWNED X AUTOS, X BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X - PROPERTY DAMAGE Per accident) $ $ A X UMBRELLA LIAB X OCCUR 79896819 /1/2015 /1/2016 EACH OCCURRENCE $10,000,000, AGGREGATE $10,000,000 EXCESS LlhB CLAIMS -MADE DED RETENTION $ $ " I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYP ,ROPRIETOR /PARTNER/EXECUTIVE, OFFICER/MEMBER EXCLUD ED? ❑ N / A 71747856 /1/2015 /1/2016 X WC STAW ' OTH- TORY " E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory yes, d ln Rnd If yes, I Earibe under DESCRIP_TION.OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Tech Professional Liab Retroactive' Date 1992 Claims Made MTP9032200 /1/2015 /1/2016 5,000,000 Each Claim 5,000,000 Aggregate 100,000 Retention DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, . Additional Remarks Schedule, If more space is required) City of Gilroy,its officers and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Auto Liability policy. City of Gilroy 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 All rinhfc racarvari ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Named Insured Schedule Palermo TT Holdings, Inc. TT Holdings I, Inc. TT Holdings II, Inc. TriTech Holdings, Inc., a Delaware Corporation Information Management Corporation TriTech Emergency Medical Systems Canada ULC TriTech Emergency Medical Systems, Inc. TriTech Delaware, LLC Vision Enterprises, Inc. Vision Acquisition, Inc. VisionAir, Inc. Voyager, Inc. Palermo Finance Corporation Tiburon, Inc. Xanalys Corporation Geo911, Inc. Masys Corporation TriTech Software Systems, a California Corporation TriTech Software Corporation, a Delaware Corporation Tiburon Limited Xanalys Corporation Geo Mobile, Inc. Compudyne Corporation Liability Insurance Endorsement paicy pew 5/01/15 to 5/01/16 Effective pate 5/01/15 Policy Number 3602 -73-36 Insured Palermo TT Holding, Inc. Name of Company Federal Insurance Company Date Issued 5/01/15 This Endorsement applies to the following forms: Under Who is An Insured, the following provision is added Who Is An Insured AddNonal Insured - Persons or organizations shown in the Schedule are Insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: if and then only to the extent the person or organization is described in the Schedule; to the extent such contractor agreement requires the person or organization to be afforded status as an insured; for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: that is more specifically identifiedunder any other provision of the Who is An Insured section (regardless o f any limitation app tic-able thereto). Lwifity insurance Adaftnal insured - Scheduled Person Or Organization concnued _ - Form 80-02 -2367 (Rev. 5-07) Endorsement Page 'I Who Is An Insured Additional Insured - with respectto any assumption of liabiiity(of anothecperson or organization)by them in a Scheduled Person contract or agreement. This limitation does not apply to the liability for damages, loss, cost or Or Organization expense for injury or damage, to which this insurance applies, that the person or organization (continued) would have in the absence of such contract or agreement Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance — if you are obligated, pursuant to a contractor agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance— Scheduled tttis insurance is primary and we will not seek contribution from insurance availableto such person Person Or Organrratton or organization. Schedule All other terms and conditions remain unchanged. i Represenrative Liability Insurance Additional Insured - Scheduled Person Or o gFenizaGon vast page Form 80-02 -2367 (Rev. 5 -07) Endorsement Page 2 5/01/1.5 to 5/01/16 Policy Number: 73588515 Federal Insurance Company COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage Form. I. EXTENDED CANCELLATION CONDITION Paragraph A.2.b. — CANCELLATION - of the COMMON POLICY CONDITIONS form IL 00 17 is deleted and replaced with the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations As Insureds The Named Insured shown in the Declarations is amended to include: I. Any legally incorporated subsidiary In which you own more than 50% of the voting stock on the effective date of the Coverage Form However, the Named Insured does not include any subsidiary that is an insured" under any other automobile policy or would be an insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. 2. Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is an insured" under any other automobile policy: (b) That has exhausted its Limit of Insurance under any other policy; or (c) 180 days or more after its acquisition or formation by you, unless you have given us written notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. —WHO IS AN INSURED —of SECTION II — LIABILITY COVERAGE is amended to add the following: d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.1. —WHO IS AN INSURED —of SECTION 11 — LIABILITY COVERAGE is amended to add the following: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if- (1) The agreement requires you to provide direct primary insurance for the lessor. and (2) The "auto" is leased without a driver. Such leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. However, the lessor is an insured" only for 'bodily injury" or "property damage" resulting from the acts or omissions by: 1. You: 2. Any of your "employees" or agents or 3. Any person, except the lessor or any "employee" or agent of the lessor, operating an "auto" with the permission of any of 1. and /or 2. above. D. Persons And Organizations As Insureds Under A Writuen Insured Contract Paragraph A.1 — WHO IS AN INSURED —of SECTION II — LIABILITY COVERAGE is amended to add the following: f. Any person or organization with respect to the operation, maintenance or use of a covered "auto ". provided that you and such person or organization have agreed under an express provision in a written insured contract ", written agreement or a written permit issued to you by a governmental or public authority to add such person or organization to this policy as an insured ". However, such person or organization is an insured" only: Form: 16 -02 -0292 (Rev. 4 -11) Page I of 3 "Includes copyrighted material of Insurance Services Office. Inc. with its permission" (l) with respect to the operation. maintenance or use of a covered 'auto'-, and (2) for bodily injury' or "property damage' caused by an "accident" which takes place after. (a) You executed the insured contract' or written agreement: or (b) The permit has been issued to you. 3. FELLOW EMPLOYEE COVERAGE EXCLUSION 8.5. - FELLOW EMPLOYEE -of SECTION II _ LIABILITY COVERAGE does not apply. 4. PHYSICAL DAMAGE - ADDMONAL TEMPORARY TRANSPORI'AlION EXPENSE COVERAGE Paragraph A.ta. - TRANSPORTATION EXPENSES - of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to provide a knit of $50 per day for temporary transportation expense. subject to a maximum limit of S 1,00D. 5. AUTO LOANILEASE GAP COVERAGE Paragraph A 4. - COVERAGE EXTENSIONS - of SECTION LIT -PHYSICAL DAMAGE COVERAGE is amended to add the following: c. Unpaid Loan or Lease Ammmts In the event of a total loss' to a covered 'auto', we wig pay arty unpaid amount due on the Ioan or lease for a covered "auto" minus- I. The amount paid under the Physical Damage Coverage Section of the policy: and 2 Any. a. Overdue ban lime payments at the time of the "loss ": b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage: c. Security deposits not returned by the lessor d. Costs for extended warranties. Credo Life Insurance, Health. Accident or Disability Insurance purchased with the loam or lease, and e. Catty -over balances from previous loans or leases. We will pay for any unpaid amount due on the ban or lease if caused by: L Other than Collision Coverage only if the Declarations indicate that Comprehensive Coverage is provided for any covered 'auto"; 2 Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto ": or 3. Collin Coverage only if the Declarations indicate that Collision Coverage is provided for any covered "auto. E RENTAL AGENCY EXPENSE Paragraph A 4. - COVERAGE EXTENSIONS -of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following: d. Rental Expense We will pay the following expenses that you or any of your "employ" are leggy obligated to pay because of a written contract or agreement entered into for use of a rental vehicle in the conduct of your business: MAXIMUM WE WILL PAY FOR ANY ONE CONTRACT OR AGREEMENT: 1. $2,500 for loss of income Incurred by the renal agency during the period of time that vehicles out of use because of actual damage to, or 'toss" of, that vehbde, including Income lost due to absence of that vehicle for use as a replacerrtent: 2 52.500 for decrease in trade -in value of the rental vehicle because of actual damage to that vehicle arisrstg out of a covered loss ": and 3. 52.500 for admb straiive expenses incurred by the rental agency, as stated in the contract or agreement. 4. $7, 500 ama cimurn total amount for paragraphs 1.. 2 and 3. combined. EXTRA EXPENSE - BROADENED COVERAGE Paragraph A.4. - COVERAGE EXTENSIONS -of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the bInA . e- RBODvery We wg pay for the expense of returning a stolen covered "auto" to you. AIRBAG COVERAGE Paragraph B.3.a - EXCLUSIONS -of SECTION III - PHYSICAL DAMAGE COVERAGE does not apply to the accidental or unintended discharge of an airbag. Coverage is excess over any other cogectible insurance or warranty specifically designed to provide this coverage. AUDIO. VISUAL ARID DATA ELECTRONIC EQUIPMENT - BROADENED COVERAGE Paragraph C.2. -LIMfr OF INSURACE - of SECTION III - PHYSICAL DAMAGE is deleted and replaced with the following: 2 $2,000 is the most we will pay for 'loss" is any one 'accident' to all electronic equipment that reproduces. receives or transmits audio. visual or data signals which. at the time of 'IoW, is: Permanently installed in or upon the covered "auto" in a housing. opening or other location that is not normagy used by the "auto" manufacturer for the Installation of such equipment Removable from a permanently installed housing unit as described in Paragraph 2.a above or is an integral part of that equipment: or Forth: 16-02-0292 (Rev. 4-11) Page 2 of 3 "includes copyrighted material of Insurance Services Office. Inc. with its permission" c. An integral part of such equipment. 10. GLASS REPAIR — WAIVER OF DEDUCTIBLE Under Paragraph D. - DEDUCTIBLE —of SECTION III — PHYSICAL DAMAGE COVERAGE the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. 11. TWO OR MORE DEDUCTIBLES Paragraph D.- DEDUCTIBLE —of SECTION !ll — PHYSICAL DAMAGE COVERAGE is amended to add the following: If this Coverage Form and any other Coverage Form or policy issued to you by us that is not an automobile policy or Coverage Form applies to the same "accident ", the following applies: 1. If the deductible under this Business Auto Coverage Fonts is the smaller (or smallest) deductible, it will be waived: or 2- if the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 12. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Paragraph A.2.a. - DUTIES IN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following: a. In the event of "accident claim. "suit" or loss ", you must promptly notify us when the "accident" is known to: (1) You or your authorized representative, if you are an individual: (2) A partner. or any authorized representative, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer, insurance manager, or authorized representative; if you are an organization other than a partnership or limited liabt7t'ty company. Knowledge of an "accident ", claim. "suit" or loss" by other persons does not imply that the persons listed above have such knowledge. Notice to us should 'include: (1) How, when and where the "accident" or loss" occurred: (2) The insureds" name and address; and (3) To the extent possible, the names and addresses of any injured persons or witnesses. 13. WAIVER OF SUBROGATION Paragraph A.5. - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION IV —BUSINESS AUTO CONDITIONS is deleted and replaced with the following: 5. We will waive the right of recovery we would otherwise have against another person or organization for "loss" to which this insurance applies, provided the insured" has waived their rights of recovery against such person or organization under a contract or agreement that is entered into before such loss ". To the extent that the insureds" rights to recover damages for all or part of any payment made under this insurance has not been waived. those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or loss" to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. 14 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph B.2. — CONCEALMENT. M[SREPRESEINTATION or FRAUD of SECTION IV — BUSINESS ALTO CONDITIONS -is deleted and replaced with the following: If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not void coverage under this Coverage Form because of such failure. 15. AUTOS RENTED BY EMPLOYEES Paragraph B.5. - OTHER INSURANCE of SECTION N — BUSINESS AUTO CONDITIONS - is amended to add the following: e. Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. If an "employee's" personal insurance also applies on an excess basis to a covered "auto" hired or rented by your "employee' on your behalf and at your direction, this insurance will be primary to the employees" personal insurance. 16. HIRED AUTO — COVERAGE TERRITORY Paragraph B. 7. b. (5). (a) - POLICY PERIOD, COVERAGE TERRITORY of SECTION IV — BUSINESS AUTO CONDITIONS is deleted and replaced with the following: (a) A covered "auto" of the private passenger type is ]eased, hired, rented or borrowed without a driver for a period of 45 days or less; and 17. RESULTANT MENTAL ANGUISH COVERAGE Paragraph C. of - SECTION V — DEFINITIONS is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by any person, including mental anguish or death as a result of the 'iwdity injury" sustained by that person. Forth. 16-02 -0292 (Rev. 4 -11) Page 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" dMORKERS' COMPENSATION AND EMPLOYERS' LMILITY INSURANCE POLICY VC 124 (4-") WC 00 03 13 WAIVER OF OUR RIGHT TO REMOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The rolbwvg -Mach" cause- need be competed ordy ~ ms enamaTienc is issued suesegLem w prepares, of lie poky.) This endorsement, effective on 5/01/15 at 12:01 A. M. standard time, fortes a part of 2M 'E) Policy No. 7474 -78-56 of the Chubb Indemnity Company (NAME OF INSURANCE COMPANY) issued to Palermo TT Holdings, Inc. Endorsement No. Reoresert�tiMe 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 o* to the extent that you perform work under a written contras that requires you to obtain this agreement from us' This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule VVC 124 (4 -84) INC 00 03 13 CopyngM i M Natonai Council on Comp"amn Inuirancr. Page 1 of 1