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COI - ACE Fire Equipment & Service Co., Inc. - Expires 2022-04-01
.a►coRo'� CERTIFICATE OF LIABILITY INSURANCE �••� DATE(MMIDDIYYYY) 10/21/2021 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 (MP) Heffernan Insurance Brokers 1460B O'Brien Drive Menlo Park CA 94025 CONTACT PHONE Ellen Bertolucci FAX Arc o 99 : 650-842-5200 MC,No): 650-842-5201 ADDRESS: ellenb@heffins.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Kinsale Insurance Company 38920 INSURED ACEFIRE-01 ACE FIRE EQUIPMENT & SERVICE CO., INC. P.O. Box 1142 INSURERB: Nationwide Mutual Fire Insurance Company 23779 ti INSURER Ate Specialty Insurance Company 16427 INSURER D : Security National Insurance Company 19879 Palo Alto CA 94302-1142 INSURER E: INSURER F : to VCKA1UtCb CERTIFICATE NUMBER 101935Rn41 D=VIQInki ktt ttur2ce• 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 LTR I TYPE OF INSURANCE I POLICY EFF POLICY NUMBER MMIDDIY POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRIOCCUR Y 0100111478-1 411/2021 4l1/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) I SO PERSONAL & ADV INJURY $1,000.000 NGEN'L AGGREGATE LIMIT APPLIES PER: POLICY E PRO-- LOC JECT OTHER: GENERAL AGGREGATE i S 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 I $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ACP BA 3019730082 4/1/2021 4/112022 Ea COMBINED Daccidentj SINGLE LIMIT $1,000,000 BODILY INJURY {Per person} S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident S S C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 01-P-XL-P70000343-1 4/1/2021 4/1/2022 EACH OCCURRENCE $10.000.000 AGGREGATE $ 10,000,000 DED I X I RETENTION S I $ D WORKERS COMPENSATION EMPLOYERS' LIABILITY Y I N ANYPROPRiETORIPARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If D> es, describe under SCRIPTION OF OPERATIONS below N I A SNP1335038 4/1/2021 4/1/2022 X STATUTE ERH-AND E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT $1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: As Per Contract or Agreement on File with Insured. Silverado Belmont Hills is included as an additional insured on General Liability policy per the attached endorsement, if required. Silverado Belmont Hills 1301 Ralston Ave. Belmont, CA 94002 +G1-Lf1 I lum 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 Lam+ 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION Attached To and Forming Part of Polity Effective Date of Endorsement Named Insured 0100111478-1 04/01/2021 12:01AM at the Named Insured Ace Fire Equipment & Service Co Inc address shown on the Declarations Additional Premium: Return Premium: $0 1 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) Location(s) of Covered Operations Blanket, as required by written contract, executed prior to the start of work on the project. Locations as required and specified by written contract, executed prior to the start of work on the project. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", " property damage" or "personal and advertising This insurance does not apply to "bodily injury" or "property injurycaused, in whole or in part, by: damage" occurring after: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations on behalf of the additional insured(s) at the for the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to itsintended use by any person or organization insured only applies to the extent permitted by law; and other than another contractor or subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the is required by a contract or agreement, the same project insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall applicable limits of insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. not increase the CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 2 of 2