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Housekeys - Insurance Certificate (2017)
AIC®RP V CERTIFICATE OF LIABILITY INSURANCE DATE (M�!"M 04/19/2017 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: H the certificate holder Is an ADDITIONAL INSURED, the pol(cypes) must be endorsed. If SUBROGATION IS WANED, subject to the terns 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). PROOueER David Chacon, Agent License#OG19060 3425 25th Street San Francisco, CA 94110 a : -. Bardia Farhadian PHONE z4.-415-647-9900 MAX. No]: 415-647-9904 MAIL ADDRESS. certificate davidchacon.com INSURE S AFFORDING COVERAGE NAIL o INSURERA: State Farm General Insurance Company Y INSURED Nyanda & Associates, LLC 409 Tennant Station #395 Morgan Hill, CA 95037 INSURER B: 06/23/2015 INSURER C: EACH OCCURRENCE INSURER D: INSURER E: PREMLWS , nos) INSURER F: MM EXP one COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS T© 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 OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - — TYPE OF INSURANCE kDOL B POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx OCCUR Y Y 97- CL- BB86 -9 06/23/2015 06/23/2017 EACH OCCURRENCE $ 1,000,000 PREMLWS , nos) $ 1,000,000 MM EXP one $ 5.000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GBPL AGGREGATE UMIT APPLIES PER: POLICY F1 PRO- JECT LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILELIABILI7Y ANY AUTO SCHEDULED ALL AUTOS HIRED AUTOS X NON-OWNED AUTOS Y Y 97- CL -B886A 06/23/2015 06/23/2017 Eaaeddent SINGLE LIMIT $ 1,000,000 x BODILY INJURY (Per person) $ I BODILY INJURY (Per end) m $ X PROPERTY DAMAGE Par accident $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS AMDE EACH OCCURRENCE $ AGGREGATE $ DED _ - - ]RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN H OFFICE%9iMBER EXCLUDED? Li (MAY (n NH) I FscfzjpnoN OF OPERATIONS bakmL- Yes. deserme cadet NIA I 97- CT- Y456 -3 09/15/2016 09/15/2017 WC STATU• OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1.000.000. E.L. DISEASE - EA EMPLOYEE $ 1.000,000 E L DISEASE - POLICY UMrT 0 $ 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES IAch ACORD 101, Addaronal Remarks Schedule. H more space Is requked) Additional Insured: City Of Gilroy 7351 Rosanna Street Gilroy, CA 95020 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.' BARDIA FARHADIAN ( -� - 0 1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01 -2012 ACOREP CERTIFICATE OF LIABILITY INSURANCE DATE 03/21/2017 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 policypes) must be endorsed. H SUBROGATION IS WANED, subject to the terns 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 Charter Risk Management 2310 Clement Street San Francisco CA 94121 CONTACT PHONE . 41.5- 876 -5440 FaX 415- 566 -0488 4AAM staff.txminsure@gmail.com WSUREM AFFORDING COVERAGE NAIC 0 INSURER A; Illinois Union Insurance Company INSURED Nyanda & Associates, LLC 409 Tennant Station #395 Morgan Hill CA 95037 INSURER INSURER C. EACH OCCURRENCE INSURER D: DAMAGE TO RENTED INSURER E : MEDEXP one INSURER F PERSONAL & ADV INJURY E_nVFRePS=c CPRTIPICeTE NIIMRER- 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE L POLICY EFF POLICY EXP LIMITS SAL L11A3LrrY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE 1-1 OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED $ MEDEXP one $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER POLICY 7 PRO LOC PRODUCTS - COMPMP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SC HEDULED AUTOS AUTOS HIRED AUTOS AUTOS -OWNED COMBMED SINGLE LIMIT GODLY INJURY (Per Person) $ BODILY INJURY (Per accident), $ PROPERTY DAMAGE $ $ UMBRELLA LIM EXCESS LIAR OCCUR CWMS -MADE EACH OCCURRENCE AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEFtIDD:CUIIVE OFFICERIMEMBER EXCLUDED? PlAmIdery in NH) N deeadDeUnder NIA WC STATU- OTH-' EJ.. EACH ACCIDENT S ELL DISEASE - EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT A Professional Liability (E &O) X EONCAD392236734 06/23/2016 06/23/2017 Each Claim: $1,000,000 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Alteeh ACORD 101, Additional Remarks Schedule, N more space Is required) The City of Gilroy, its officers and employees are added as additional insured. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE 1 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE U reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Back Save THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Nyanda & Associates, LLC Policy Symbol Policy Number Policy Period Effective Date of Endorsement EONCAD392236734 06/23/2016 to 06/23/2017 06/2312016 Issued By (Name of Insurance Company) Illinois Union Insurance Company Additional Insured (Automatic Pursuant to Contract) It is agreed that: 1. Section II, Definitions, subsection I, the definition of Insured, is amended by adding the following: Insured also means any client or customer of the Named Insured, but only if a written contract entered into by the Named Insured specifically requires that such client or customer be added as an additional Insured for professional liability or errors and omissions insurance, and only for Claims (i) first made on or after the effective date of this endorsement and (ii) for vicarious or imputed liability of such client or customer which results from Wrongful Acts committed solely by the Named Insured. The Policy will not provide coverage for any Wrongful Act committed by such client or customer'referenced above which is.added to this Policy as an additional Insured. 2. Section III, Exclusions, is amended by deleting exclusion E, but solely with respect to Claims asserted by such client or customer referenced above for Wrongful Acts actually or allegedly committed by an Insured in the performance of or failure to perform Professional Services. All other terms and conditions of this Policy remain unchanged. Authorized Representative PF -19806 (02/06) EO 0 2006 LQ Page 1 of 1 RRKE Policy No.: 97- CB- T377 -8 SECTION II ADDITIONAL INSURED ENDORSEMENT Policy No.: 97- CB- T377 -8 Named Insured: Nyanda $ Associates, LLC 409 Tennant Station #395 Morgan Hill, CA 95037 Additional Insured (include address): City, its officers and employees. City Of Gilroy 7351 Rosanna Street Gilroy, CA 95020 FE -6609 WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above. Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X" in the box. ® Primary Insurance. The insurance provided to the Additional Insured shown above shall be primary insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to you. All other policy provisions apply. FE -6609 Printed in U.S.A.. FE -6671 Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SCHEDULE Policy Number: 97- CB- T377 -8 Named Insured: Nyanda & Associates, LLC 409 Tennant Station #395 Morgan Hill, CA 95037 Name and Address of Person or Organization: City, its officers and employees. City Of Gilroy 7351 Rosanna Street Gilroy, CA 95020 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. Your work done under 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. All other policy provisions apply. FE -6671 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. FE -6671 Printed in U.SA (04/09)