Loading...
Crime Scene Cleaners - Insurance Certificate (2019)P5260028002 ;i KI O ,y � �� DATE (MM1DD/YYYY) `�► CERTIFICATE OF LIABILITY INSURANCE I 04/25/2019 �f. 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 I$ 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 LIC #OE77964 1-925-671-5110 CONTACT Nallaea Davis Integro Insurance Brokers PHONE FAX (A(C,No.Ext): 925-852-0436 I (AIC,No): 925-852-0486 E-MAIL Nelissa,DavisLaintegrogroup.com 2300 Contra Costa Blvd ADDRESS: Suite 375 INSURERS) AFFORDING COVERAGE NAIL # Pleasant Hill, CA 94523 INSURERA;'HOUSTON SPECIALTY INS CO 12936 INSURED INSURER B:UNITED FINANCIAL CAS CO 11770 Crime Scene Cleaners, Inc. INSURERC:NATIONAL UNION FIRE INS CO OF PITTS 19445 5081 Swift Road INSURER D : STATE COMPENSATION INS FUND 35076 INSURER E : Shingle Springs, CA 95682 INSURERF: COVERAGES CERTIFICATE NUMBER: 56020823 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN'5D 11WD POLICY NUMBER (MMIDDNYYYI (MM/DD/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY X X TEN22373 12/01/18 12/01/19 EACHOCCURRENCE $ 1,000,000 CLAIMS -MADE � PREMISES OCCUR I DAMAGERENTED 100 0 ( (Ea occurrence) $ . 00 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY L_. _J JECT E LOC I PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: I $ B AUTOMOBILE LIABILITY 06415849-6 05/01/19 11/01/19 COMBINED SINGLE LIMIT $ 1,000,000 T (Ea accident) ANYAUTO I BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS I BODILY INJURY (Per accident) $ __., X HIRED X NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY I (Per accident) X Comp Dad: X Coll Ded: $ C UMBRELLA LIAO I IOCCUR EBU011656125 12/01/18 12/01/19 EACH OCCURRENCE $ 2,000,000 EXCESS LIAR X CLAIMS -MADE I AGGREGATE $ 2,000,000 DIED I I RETENTION $ I $ WORKERS COMPENSATION 9070873-18 09/07/18 09/07/19 X PER ER"- D AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE 11 Yj N / A I E.L EACH ACCIDENT $ 1,000,000 OFFICE(Mandatory In EREXCLUDED? J E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Written Contract between parties. Additional Insured(s): The City of Gilroy Applicable Foxm(s): CG2010 0704, CG2037 0704, TEN0215 0114 a CG2404 0509 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESEN TATIVE Gilroy, CA 95020 USA rights reserved 4 1988.2015 ACORD CORPORATION, All ri g ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD BrunyArgo 56020823 co cc W P5260028002 m w N 00 CO N 110 v 0 M 00 00 N 110 P5260028002 AC R a,CERTIFICATE OF LIABILITY INSURANCE 11/30/20 DATE 8�) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER LIC #OE77964 1-925-671-5110 INAME: CONTACT Melissa Davis Integro Insurance Brokers (PHONE 925-852-0436 FAX 925-852-0486 /p�C. �qo. E tL• (A/C. No): 2300 Contra Costa Blvd (ADDRESS; Melissa.Davia@integrogroup.com Suite 375 I INSURER(S) AFFORDING COVERAGE NAIC# Pleasant Hill, CA 94523 INSURERA: HOUSTON SPECIALTY INS CO 12936 INSURED INSURER B: UNITED FINANCIAL CAS CO 11770 Crime Scene Cleaners, Inc. IINSURERC:NATIONAL UNION FIRE INS CO OF PITTS 19445 5081 Swift Road IINSURER D;STATE COMPENSATION INS FUND 35076 INSURER E : Shingle Springs, CA 95682 IINSURERF: COVERAGES CERTIFICATE NUMBER: 54677255 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER (MMIDDIYYYYI (MMIDDIYYYYI A X COMMERCIAL GENERAL LIABILITY X X TEN22373 12/01/18 12/01/19 EACHOCCUfjRENCE $ 1,000,000 CLAIMS -MADE OCCUR PREMISES ENTEU 100,000 PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � JECT PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 06415849-9 11/01/18 05/01/19 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ % HIRED X NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) X Comp Ded: X Coll Ded: $ C UMBRELLA LIAB x (OCCUR EBU011656125 12/01/18 12/01/19 EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB j—j CLAIMS -MADE I AGGREGATE $ 2,000,000 DED I I RETENTION $ $ D WORKERS COMPENSATION 9070873-18 09/07/18 09/07/19 gISTAPERTUTE OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L. EACH ACCIDENT $ 1,000,000 /M OFFICEREMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Written Contract between parties. Additional Insured(s): The City of Gilroy Applicable Form(s): CG2010 0704, CG2037 0704, TEN0215 0114 & CG2404 0509 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE �� Gilroy, CA 95020 / ) I USA � �''^ ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD BrunyArgo 54677255 N , 00 z w P5260028002 Policy No: TEN22373 COMMERCIAL GENERAL, LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CGI 2.0 10 07 04 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERS04OR ORGANIZATION This eadorsoment modifies Insurance provlded.,undorihe following: COMMERCIAL. GENERAL LIABILITY COVERAGE PART SCHEDULE Name, of Additional Insured Perso.n(Aj Or Organizations (s) Only those parties ribqu' !red to be named as an: ALL Additional Insured ina written contract with the Named Insured under this pollay, entered Into prior to the "loss" or "cicourre"o A- Location(s) Of Covered Operations I-nforriiation req.Uired tocomplete this Sch dule, K pot shown obovo,. will be shown in tha. Nclaraltions, A. Section 11 - Who Is An Insured is antem ed,ta include as an WdItional insured the person(s)-or organization . (0) . shown in . the . chedule but onlywl0resPPottoliabildyf6r" bodityqury p�cpert y damage!' or 7personal --and a us volising injury." ca . eon w . ihole or In -part, by: d -1. Your act&or on- finions; or 2. The acts or=nisslons of those actlrq, on your behalf; its the P8t.f0rM0tM0 YpUf ongoing operations for the additional insured-0). at the lou, 664(s) designa. ted.ab6ve. 13This in.surance dm not -apply to'bo'dilly injury", "proparty'darriage" owurring after: 11< All work, including rria.tedalsl parts or soolp.ment furnisbod in with such work, on the project (other than service, maintenance or repairs) to be. perfqrmed by. or on behalf of the additional iftsured(s�) at . the location of the covered operations hao: been completed, or Ti 2i I portion of yourvvork",Out of I whI0 the injury, or damage arises - hasbeen to its intended use by any person or orgarnzatiDn other than another contractor or subcontractor engaged in performing operation's fava principal as a part of the same, prPlect, Policy No: TEN22373 CG,20 10 07 04 IS 01 Properties, InC., 2004 PAGE 1 of I 0 C11 P5260028002 Policy No: TEN22373 COMMERCIAL GENERAL LIABILITY WA HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSE, MENT CHANGES THE. POLICY. PLEASE READ IT CAREFULLY. CG, 16 3T 07.64 00 ADDITIONAL INSURED - OWNEkS, LESSEES OR CONTRACTORS , COMPLETED OPERATIONS This endomementmodiflos Inturanco provided. oiler tip following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(.%) Or Owriiza'tiom (s): Location(s) Of Covered Operations Only those pAes required to be rkamod.as an ALL Additional InsurOd in 6, written eofitr4ot with the: Named Insured under this polley,, entered Into prior, Infornation required to complete tbl&.!5ch0dule.,.Kmt shoWn aboVe,vill bo Sh)6WA In thO. Declarations. A. SlIECTION 1111- WHO ISAN INSURED is amended to include as an additional insured the persons .or oroanizaU66(s) shown I I n the Schedule, but only with respect to llability. for "bodily injury". or "'property damage" caused, in, whole or In part, by "your work" at .the location designated and described'in the schedule ct this, endorsement performed for that additlonal Insured and included in the, "Productw4ropleled operations hazard', Policy No: TEN22373 CG 37 07 04 180 Properties, Inc., 2064 PAGE 1 of 1 Policy No: TEN22373 COMMERCIAL GiENERAL LIABILITY THIS ENSDORSEMENT CHANGES THE POLICY.. PLEASE READ IT CAREFULLY. TEN02150114 PRIMARY AND KOKZONTRIBuTING', INSURANCE This endorsement modifies insuranceprovided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE.LiABILITY:COVERAGE FORM The followin§ is addbd to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4, Section. IV, Comraerclal General Liability Conditions 4, Other Insuramae; d. Not withstanding the, provisions Cfsub-paragraphs a, b, and c.of this paragraph 4, with respect to the Third Party as dofined Delow, it is understood and agreed #W -in the event of a claim :or Suit" mused in whole or in part by the Named Insured's ne. * ej this insuran aO 91 mc cp shaIl be primary an ta y oMer 16surame main hied 4y the additional insured named as the Third Party, belowshall be, excess and non-contributory, The, Third Party to whomtlfis endorsement apP lie Absence of a specifically named Third Party above rneans1his endorsement applies only to those third parties required to be:n - imed as.an Additional Inwred as Primary and Non-Contribulory coverage specified in a writt . en contract with the Named Insured under this. policy, entered into.prior to the loss or All other terms, conditions and exdujons under this are applicable to this Endorsement and remain ur0ange(J- TEN021S 01114 Includes copyright material of Insurance Services Office, Inc. Page I of 1. r- C'4 00 P5260028002 I Policy No: TEN22373 COMMERCIAL. GENERAL LIABILITY t HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLicy. PLEASE READ IT CAREFULLY. r- N 00 'n CG 24 04 06 09 WAIVER: OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This andorsement modifies in urance. providod utWler the folio, 0, .4, OW6 COMMERCIAL GENERAL LIABILITY COVERAGE PAFUr PRODUCTSICOMPLETED OPERATIONS LIABILITY COVER -AGE: PART SCHEDULE Name of Person or 0% 17� anization. - - only such Person F inization where recloired In a written witract with the NamedinsurW under this policy, entered Into prior to the *loss or o w-urrence'. inibrmation mquired-to completallhis Sehedulle, If not shown 4ova, will b0shco Ire the. 1)00aroflons, The - follo.wirg Is, added to. Paragraph 8. Transfer Of *Riolhts Of RecoveryAgainst Others To Us of SLidon IV - Conditions: life *raive,8nyright of redover n .,.y:we may. have. agai. st ,the person or organ 12 zation shown in the act a b6ve 1petlause of payments we rnake for injury or daniage posing out of your ongoing.opgrati[oh's of fly -our wo*4 done., under a pantradt-1011 that pefsoh or organi z0o.n ond Inckded in tlJe "PfoduCts-cosioleled operatons hazard". Thi tiver applies s Wa Vles only to the person or organization shown* in the Schedule above, Policy No: TEN22373 CG 24 04 05 09 Copyright. Insurance Services Office, Inc—, 200.8 Page i of 1