Loading...
Mintier Harnish - Insurance Certificate (2020)MINTIA OP ID: CC CERTIFICATE OF LIABILITY INSURANCE ( DATE 05/0303/12019Y) 019 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 Point West Insurance Assoc. 1465 Response Road #240 Sacramento, CA 95815 M Stuart Nelson INSURED Mintier Hamish LP dba:Mintier Harnish 1415 20th Street Sacramento, CA 95814 CONTACT NAME: PHONE (Alp, no-Extl: E* AIL ADDRESS: INSURER(S) AFFORDING COVERAGE INSURERA: Hartford Casualty Company INSURERB: Hartford Fire Insurance Co INSURER C : INSURER D : INSURER E: INSURER F : FAX (A/C. Not: NAIC N 29424 19682 COVERAGES CERTIFICATE NUMBER: 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 ADOL SUBR POLICY EFF POLICY EXP LTR n1SR IW POLICY NUMBER (MMIDDIYYYYI (MWDD/YYYY) I TYPE OF INSURANCE LIMITS GENERAL LIABILITY I EACH OCTgRj2ENC $ A X COMMERCIAL GENERAL LIABILITY Y 57SBAEF2063 04/24/2019 04/24/2020 DAMAGE I (z FIEFITE PREMISES (Ea occurrencel $ CLAIMS Fx_1 OCCUR -MADE MED EXP (Any one person) $ A X Hired/NOwned Auto 67SBAEF2053 04/24/2019 04124/2020 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ G—EN�'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP AGG $ 1C I POLICY F PF ° n LOC H/NO Auto s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT — (Ea accident S ANY AUTO BODILY INJURY (Per person) s ALL OWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY Per accident S ( ) NON -OWNED _ HIRED AUTOS AUTOS PROPERTY DAMAGE (PERACCIDENTI $ is UMBRELLA LIAR OCCUR EACH OCCURRENCE I $ EXCESS LIAR CLAIMS -MADE I AGGREGATE s DED RETENTION s $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I X I WC STATU- I IOTH- TnRY I FR Y f -- %ffs B ANY PROPRIETOR/PARTNER/EXECUTIVE 57WECNU9666 04/24/2019 04/24/2020 E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E L DISEASE - EA EMPLOYEEI S Dyes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE -POLICY LIMIT 1 s DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Full Additional Insured listing -City of Gilroy, its officers, representatives, agents and employees. CERTIFICATE HOLDER CANCELLATION 2,000,00 1,000,00 10,00 2,000,00 4,000,00 4,000,00 2,000,000 1,000,00 1,000,00 1,000,00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. Community Development Dept. Attn: Stan Ketchum AUTHORIZED REPRESENTATIVE 7351 Rosanna Street < Gilroy, CA 95020 J I 9)1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 57 SBA EF2053 M THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS, AND EMPLOYEES Location(s) Of Covered Operations: 7351 ROSANNA ST, GILROY, CA 95020 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section C. — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. Form SS 41 70 06 11 Process Date: 0 2 / 0 6 / 19 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Page 1 of 1 Policy Expiration Date: 04/24/20 © 2011, The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its permission) ACO o DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 11/28/2018 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 pollcy(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 =tifi ..ate holder in lieu of such endorsement(s). PRODU ER IGow.. Karen Bronson CorRisk Solutions rum o Ica`.na.e'a 312-637-8755 rx It��Ib.E, 225 W. Washington St. Suite 1560 Ia� kbronson@corrisksolutions.com Chicago, IL 60606 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: New Hampshire Insurance Company 23841 INSURED INSURER 0: Mintier tlarnish IINSURERC: 1415 20th Street IINSURERD: Sacramento, CA 95811 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 AUU*L SUtllt LTR INSRD WVD (POLICY POLICY NUMBER POLICY EFF POLICY EXP (0.1MIDDIYVYYI LIMITS GENERAL LIABILITY EACH OCCURANCE COMMERCIAL GENERAL LIABILITY (DAMAGES ( RENTED PREMISES IEa occurance) CLAIMS MADE OCCUR I MED EXP (Any one person) _ DOES NOT APPLY I PERSONAL 8 AND INJURY — GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: (PRODUCTS - COMPIOP AGG POLICY n PROJECT n LOC AUTOMOBILE LIABILITY CUM"INLU SINGLE LIMI I (to aee;denn i ANY AUTO I BODILY INJURY (Per person) — ALL OWNED SCHEDULED DOES NOT APPLY BODILY INJURY (Per accident) AUTOS HIRED AUTOS AUTOS NON -OWNED AI rl-OR Ian HIYUAMA(Az(Ner UMBRELLA LIAB I OCCUR ,EACH OCCURANCE EXCESS LIAR 7 CLAIMS MADE DOES NOT APPLY (AGGREGATE DED IRETENTION 8 �WO tKERS COMEN ATION I WC STATU- I I (OTHER AND EMPLOYERS' LIABILITY TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICEIMEMBER EXCLUDED? YIN NIA DOES NOT APPLY t.L. UISESAF -tA (Mandatory in NH) ❑ I EMPLOYEE It yes, describe under UE5URIP I ION OF OPERATIONS belay E.L. DISEASE -POLICY LIMIT A Professional Liability 064990819- 11/21/18 1-1/21/19 Per Occurrence: $2, 000, 000 03 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space is required) Gilroy GPU CERTIFICATE HOLDER CANCELLATION City Of Gilroy Community Development SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE Department THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Stan Ketchum AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010106) ©1988-2010 ACORD CORPORATION. Allrights reserved The ACORD name and logo are registered marks of ACORD