Loading...
TRC Engineers - Insurance Certificate (2019)Client #: 25380 TRCCOMPA ACORD,r, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 3/22/2018 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jerry Noyola Greyling Ins. Brokerage /EPIC -552 -4225 FOX HONE .Ex1:770 866- 550 -4082 A c, No : 3780 Mansell Road, Suite 370 E -MAIL ADDRESS: jerry.noyola @greyling.com Alpharetta, GA 30022 4101/2018 04/0112019 EACH OCCURRENCE INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Natlonal Union Fire Ina. Co. 19445 MED EXP (Any one person) INSURED INSURER B : XL Specialty Insurance Co. 37885 TRC Engineers, Inc.; TRC Solutions, Inc. INSURER C: NewNempanirelna.co. N..HaatlnaueIns.Company 23841 TRC Companies, Inc., 17911 Von Karman INSURER D: 26387 Avenue, Suite 400 PERSONAL & ADV INJURY $1,000,000 Irvine, CA 92614 INSURER E: INSURER F: GENERAL AGGREGATE COVERAGES CERTIFICATE NUMBER: 18 -19 REVISION NUMRFR- 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 CONTRACTOR 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMIDDy/YYYY MM DDY/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR 5341999 4101/2018 04/0112019 EACH OCCURRENCE $1 000 000 PREMISESOERENTED nce $500,000 X MED EXP (Any one person) $ 25,000 Contractual Liab. PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PR- POLICY [ X] JECT [j] LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 4773667 (AOS) 4/01/2018 04/01/201 BINED Eeacccdani SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO 4773668 (MA) 4/01/2018 04/01/201 X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY (Per accent ) BODILY INJURY id $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAR X OCCUR US00075712LI18A 4/0112018 04101/201 EACH OCCURRENCE $9,,000,,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $9 000 000 DED X RETENTION $1 O OOO $ C A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 022298274 AOS ( ) 022298275 (CA) 022298276 (ME) 4/01/2018 4101/201804/01/201 4101/2018 04/01/201 04/01/201 PER OTH- X TATUTE ER E.L. EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT T $1,000,000 D Prof. Liab. incl. PECO19684302 4/01/2018 04/01/2019 Per Claim $5,000,000 Poll. Liab. Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project #15 -PW -228, STPL- 5034(023) - West Branch Llagas Creek (aka Ronan Channel) Trail & Bridge. The City, its officers, officials & employees are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be provided to the Certificate Holder. The above referenced liability (See Attached Descriptions) City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 -0000 AUTHORIZED REPRESENTATIVE xkv- � ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1011792/M1010630 JNOY1 SAGITTA 25.3 (2016/03) 2 of 2 #S1011792/M1010630 POLICY NUMBER: 4773667 (AOS) 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 Co- verage 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: TRC Companies, Inc. Endorsement Effective Date: 04/01/2018 SCHEDULE Name Of Person(s) Or Organization (s): AS REQUIRED PER WRITTEN CONTRACT 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 Cover- age, but only to the extent that person or organ- ization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. CA 20 48 10 13 Page 1 of 0 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. This page has been left blank intentionally, Client #: 25380 TRCCOMPA ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD /YYYY) 3/22/2018 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Greyling Ins. Brokerage /EPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 CONTACT NAME: Jerry Noyola PHONE 770- 552 -4225 FAX Ext : A C, No): 866 - 550 -4082 -MAIL ADDRESS: jerry.noyola @greyling.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire In, Co. 19445 5341999 INSURED TRC Solutions, Inc., TRC Companies, Inc. 21 Griffin Road Windsor, CT 06095 INSURER B : XL Specialty Insurance Co. 37885 INSURER C: C No. 1-1— pshireIns. Co. 23841 INSURER D: SteadMstInsuranceCompany 26387 MED EXP (Any one person) $25,000 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER- 1R -1q RFVICInhI NI lIVi 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. INS TYPE OF INSURANCE NSRL WVD POLICY NUMBER MM /DDY� POLICY EXP LIMITS • X COMMERCIAL GENERAL LIABILITY F V1 CLAIMS -MADE OCCUR 5341999 4101/2018 04101/201 EACH OCCURRENCE $1,000,000 PREMISESOEa oceu ante $500,000 X MED EXP (Any one person) $25,000 Contractual Liab. PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC GENERALAGGREGATE $2,000,000 PRODUCTS- COMP /OP AGG $2,000,000 $ OTHER: • AUTOMOBILE LIABILITY 4773667 (AOS) 4/01/2018 04/011201 EaaocidantSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO 4773668 (MA) 4/01/2018 04/01 /201 X OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY �( NON -OWNED AUTOS ONLY BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR US00075712LI18A 4101/2018 04/01/2019 EACH OCCURRENCE $9,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $9,000,000 DED I X RETENTION $1O 000 $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N NIA 022298274 (AOS) 022298275 (CA) 04/01/2018 4/01/2018 04/01/2019 04101/201 PER OTH- X STATUTE R E.L. EACH ACCIDENT $1 000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 A (Mandatory In NH) 022298276 (ME) 4/01/2018 04/01/201 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1$1,000,000 D Prof. Liab. Incl. PECO19684302 4/01/2018 04/01/2019 Per Claim $5,000,000 Poll. Liab. Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: Project #15 -PW -228, STPL- 5034(023) - West Branch Llagas Creek Trail. The City, its officers & employees are named as Additional Insureds with respects to General Liability where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be provided to the Certificate Holder. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 -0000 ACORD 25 (2016/03) 1 of 1 #S1011791/M1010630 uL•,1el 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 ,6 41 V ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JNOY1 This page has been left blank intentionally. Client #: 25380 TRCCOMPA ACORD_ CERTIFICATE OF LIABILITY INSURANCE -DATE 3 /22/ IDD/YYYY) 3/22/2018 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Greyling Ins. Brokerage /EPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 CONTACT NAME: Jerry NOyOIa PHONE 770- 552 -4225 FAX E MA " °' Ext : /vc, No :866- 550 -4082 ADDRESS: jerry.noyola @greyling.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Unlan Fire Ins. Co. 19445 5341999 INSURED TRC Solutions, Inc., TRC Companies, Inc. 21 Griffin Road Windsor, CT 06095 INSURER B: XL Specialty Insurance Co. 37885 INSURER C ; New Hampshire Ins. Co. 23841 INSURER Steadfast insurance Company : 26387 MED EXP (Any one person) $25,000 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18 -19 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 CONTRACTOR 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. LTR TYPE OF INSURANCE _INSR ADDLSUBR WVD POLICY NUMBER EFF MM DDY/YYYY MMIDDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR 5341999 4101/2018 04/011201 EACH OCCURRENCE $1,000,000 PREMISES (ERENTED nce $ SOO,000 X MED EXP (Any one person) $25,000 Contractual Liab. PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY � JEC LOC I GENERAL AGGREGATE $2,000,000 GEN'L PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 4773667(AOS) 4101/2018 04/011201 EeeEci EaDISINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ A AUTO 4773668 (MA) 4/01/2018 04/01/2019 IANY OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Pare ccident $ B X UMBRELLA LIAB X OCCUR US00075712LI18A 4/01/2018 04/01/201 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 EXCESS LIAB CLAIMS -MADE DIED I X RETENTION $10,000 $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? N N/A 022298274 (AOS) 022298275 (CA) 4/01/2018 4/01/2018 04/011201 04/01 1201 PER OTH- X TATUTE E E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 A (Mandatory in NH) 022298276 (ME) 4/01/2018 04/011201 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D Prof. Liab. incl. PECO19684302 4/01/2018 041011201 Per Claim $5,000,000 Poll. Liab. Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project #15 -PW -228, STPL- 5034(023) - West Branch Llagas Creek Trail. The City, its officers & employees are named as Additional Insureds with respects to General Liability where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be provided to the Certificate Holder. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 -0000 ACORD 25 (2016/03) 1 Of 1 #S1011791/M1010630 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 195k - © 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JNOY1 This page has been left blank intentionally.