Meritage Homes (Sub-Contractors) - Insurance CertificateAllstate.
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BU114R -3
Cl CW A02 10 11
CERTIFICATE OF INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued
to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided
by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage
is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other
contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at
the policy inception. Subsequent paid claims may reduce these limits.
Certificate Holder.
THE CITY OF GILROY AND ITS MAYOR
AND CITY COUNCIL, AGENTS,
OFFICERS AND EMPLOYEES
7351 ROSANNA ST
GILROY, CA USA 950206141
Named Insured:
A. MUNOZ LANDSCAPE CONSTRUCTION
INC.
1540 SAN PEDRO AVE
MORGAN HILL CA 95037 -9651
Automobile Liability
Insurer Name: Allstate Insurance Company
PolicyNumber 648795266
1 --Any Auto
2 - Owned Autos Only
3 - Owned Priv. Pass. Autos Only
4 -- Owned Autos Other Than Priv.
Pass. Autos Only
5 - Owned Autos Subject to
No Fault
6 - Owned Autos Subject to a Compulsory UM Law
X
7 -- Specifically Described Autos
X
8 - Hired Autos Only
X
9 - Nonowned Autos Only
Policy Effective Date: 08-23-2017
Policy Expiration bate: 08-23-2018
Limits of
J$2,000,000
1 Combined Single Limit (each accident)
Insurance'
BI Per Person
I BI Per Accident
PD Per Accident
Description of Operations/Locations/Vehicles/Endorsements/Special Provisions
Interested Party Type: Additional Insured - All Other
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST
EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL
INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH
POLICY LANGUAGE OR ENDORSEMENT.
Producer.
FULLER - AGUILERA INS
Authorized Representative:
Date: 10 -30 -17
Cl CW A02 10 11
Includes copyrighted material of Insurance Services Office, Inc., with its permission
Allstate Insurance Company
Additional Insured Copy
Page 1 of 1
Allstate.
You're in good hands.
COMMERCIAL AUTO
AACW230914
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NON - CONTRIBUTORY ENDORSEMENT
Coverage provided under this policy is modified by the attachment of this endorsement If there is any conflict in
coverage provisions between this form and any state specific endorsement also attached to this policy, the
provision(s) of the state specific form shall apply.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Endorsement Effective: 10 - 2 7 - 2 017
Countersigned By:
(Authorized Representative)
Named Insured:
A. MUNOZ LANDSCAPE CONSTRUCTION
SCHEDULE
F!"A
THE CITY OF GILROY AND ITS MAYOR AND CITY
COUNCIL, AGENTS,
OFFICERS AND EMPLOYEES
7351 ROSANNA ST
GILROY, CA USA 950206141
If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to the endorsement.
SECTION IV — BUSINESS AUTO CONDITIONS,B.General Conditions, 5. Other Insurance is modified by this
endorsement, only as it applies to any coverage provided to the person or organization designated in the
schedule of this endorsement and only to the extent that such person or organization qualifies as an "insured"
under this policy.
If the named insured has entered into an agreement with the person or organization designated in the Schedule of
this endorsement, which requires that the insurance available to them under this policy be applied on a primary
and non - contributory basis, the following provision applies:
Any coverage provided under this policy to the person or organization designated in the Schedule of this
endorsement is primary, and we will not seek contribution from any other Automobile Liability insurance otherwise
available to the designated person or organization.
Includes copyrighted material of Insurance Services Office, Inc., with its permission
BU114R•3 AA CW 23 0914 Allstate Insurance Company Page 1 of 1
Additional Insured Copy
a Allstate.
You're in good hands.
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BU114R3
POLICY NUMBER: 648795266
COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage
under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage
provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Named Insured: A. MUNOZ LANDSCAPE CONSTRUCTION
Endorsement Effective Date: 10-27-2017
SCHEDULE
Name Of Person(s) Or Organization(s):
THE CITY OF GILROY AND ITS MAYOR AND CITY
COUNCIL, AGENTS,
OFFICERS AND EMPLOYEES
7351 ROSANNA ST
GILROY, CA USA 950206141
I Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies
as an "insured" under the Who Is An Insured
provision contained in Paragraph A.1. of Section II —
Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section I — Covered Autos
Coverages of the Auto Dealers Coverage Form.
CA 20 48 10 13
C Insurance Services Office, Inc., 2011
Additional Insured Copy
Page 1 of 1