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Home My WebLink AboutGilroy Gardens - Insurance CertificateClient #: 3025 GILROGAR1 ACORD.M CERTIFICATE OF LIABILITY INSURANCE TA E (MM /DD/YYYY) 2/28/2011 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 Haas & Wilkerson Insurance CONTACT NAME: PHONE 913 432 -4400 FAX AIC No Ext : A/C, No 4300 Shawnee Mission Parkway Fairway, KS 66205 913 432 -4400 E -MAIL ADDRESS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 Gilroy Gardens Family Theme Park 3050 Hecker Pass Hwy Gilroy, CA 95020 INSURER B PERSONAL & ADV INJURY INSURER C INSURER D GENERAL AGGREGATE INSURER E GEN'L AGGREGATE LIMIT APPLIES PER: Al Fvl POLICY PRO LOC INSURER F: $5,000,000 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 TR TYPE OF INSURANCE DDL IN SR UBR D POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM /DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR G21762428 3/01/2011 03/01/2012 EACH OCCURRENCE $1,000000 DAMAGE TO RETE PREMISES (Ea occur ence ) $100,000 MED EXP (Any one person) $Excluded PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Al Fvl POLICY PRO LOC PRODUCTS - COMP /OP AGG $5,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCL D? UDE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC STATU- I OTH- FIR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured: City of Gilroy City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2009/09) 1 of 1 #S76133/M76131 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 01988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SALAK HAAS &WILKERSON I N S U R. A April 4, 2012 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 RE: Policy G21762428 with ACE American Insurance Effective 03/01/2012 to 03/30/2012 Certificate Holder: City of Gilroy Dear Insurance Compliance: A certificate of insurance was issued to you on behalf of Gilroy Gardens Family. The insured has non - renewed /cancelled their coverage as of 03/30/2012. Gilroy Gardens Family has no coverage through our agency or ACE American Insurance Company for the above policy, as a result, the previously provided certificate of insurance is Null 8s Void. If we can be of further assistance, please let us know. Sincerely, J VIW_." Karen Salas, CISR Account Manager karen.salas @hwins.com Enclosure 4300 Shawnee Mission Parkway • Fairway, Kansas 66205 e Phone 913.432.4400 • Fax 913.432.6159 « www.hwins.com INSURING YOUR SUCCI S5 Ciient#- 3025 GILROGAR1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE `O ATE 1 2/29/2012 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 Haas & Wilkerson Insurance CONTACT NAME: PHONE 913 432 -4400 FAX A/C, No, Ext : A/C, No): 4300 Shawnee Mission Parkway Fairway, KS 66205 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 913 432 -4400 INSURER A: ACE American Insurance Company 22667 INSURED Gilroy Gardens Family Theme Park 3050 Hecker Pass Hwy Gilroy, CA 95020 INSURER B: $ Excluded INSURER C $1,000,000 INSURER D INSURER E $5,000,000 INSURER F PRODUCTS - COMP /OP AGG 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 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 MMfDDY/YEYYY- POLICY //NYYYY LIMITS A GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR G21762428 3/01/2012 03/151201 EACH OCCURRENCE $1,000,000 DAMAGE TO $100,000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: x POLICY PE O- LOC PRODUCTS - COMP /OP AGG $ 5,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PeOrPERTnt DAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- Y LIM IER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured: City of Gilroy a:11111 aLy_1 11a City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) 1 of 1 #S107243/M107239 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SALAK AXIS 8000(08/10) CERTIFICATE OF INSURANCE 1 04/02/2012 PRODUCER American Specialty Insurance & Risk Services, Inc. 142 North Main Street Roanoke, Indiana 46783 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 INSURED Gilroy Gardens Family Theme Park, Inc. 3050 Hecker Pass Highway Gilroy, CA 95020 INSURERS AFFORDING COVERAGE INS. A: AXIS Insurance Company INS. B: INS. C: CERT NUMBER: 1001026510 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING 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 LTR POLICY TYPE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GL AXGL01103695 -12 03/30/2012 12:01 a.m. 03/30/2013 12:01 a.m. General Aggregate 5,000,000 Products-Completed Operations Aggregate 5,000,000 Personal and Advertising Injury 1,000,000 Each Occurrence 1,000,000 Damage to Premises Rented to You (Any One Premises 100,000 Medical Expense Limit (Any One Person Excluded DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS - The Certificateholder is only an additional insured with respect to liability caused by the negligence of the Named Insured as per Form AXIS 1003- Additional Insured- Certificateholders, effective March 30, 2012. rF=PTIF1rATF Hni DF_R CANCELLATION 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. AUTHORIZED RE JPRESENTAT i American Specialty Insurance & Risk Services, Inc. also conducts business as A.S.I.F.S.I. Insurance Agency In the state or t aurornla. BONFA -2 OP ID: NA A1✓ RO CERTIFICATE OF LIABILITY INSURANCE F04112/12 YY) 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 408- 842 -2131 Pacific Diversified Insurance Gilroy Office 408- 842 -0867 9015 Murray Avenue #110 Gilroy, CA 95020 CONTACT NAME: alcO No Xt_ FAAX E- MAIL SS: - -- —� INSURER(S) AFFORDING COVERAGE - -- NAIC # Jon C. Voorhies _ INSURER A: California Capital Ins Group 13544 INSURED Bonfante Nurseries Inc. Attn: Mary Oteri 3675 Hecker Pass Highway INSURER B:Insurance Co of the West (ICW) 27847 _ INSURER C. EACH OCCURRENCE - INSURER D: A Gilroy, CA 95020 INSURER E: 3FMA11337675 INSURER F' 04/14/13 COVERAGES CERTIFICATE Nt1MRFR DCfnelnnl nnrneero• 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 3FMA11337675 04/14/12 04/14/13 DAMAo R PREMISEGE T E NTED S rEa occurrence S 100,00 MED EXP (Anyone person) S 10,00 X $2M Products Agg PERSONAL & ADV INJURY S 1,000,00 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY — I 1 "RO- I LOC PRODUCTS - COMP /OP AGG -_ S 27000,00 Emp Ben. - S - - - 1,000,00 AUTOMOBILE .LIABILITY. COMPINFF) SINGI F LIMIT Ea accident $ 1,000,00 X BODILY INJURY (Per persa) 1 5 A ANY AUTO 3FAA11337675 04/14/12 04/14/13 ALL OWNED SCHEDULED i , DODILY INJURY (Per.accident) $ NON-OWNED HIRED AUTOS _ - NON OW AUTOS _ PROPERTY DAMAGE (Per accident) - UMBRELLA LIAB UGCUR EACH OCCURRENCE 5 AGGREGATE S EXCESS LIAB CLAIMS -MADE DED 7 RETENTION $ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY r FROFRIETOR /FARTNER /EXCCUTIVE YIN OFFICER /MEMBER EXCLUDED? ❑ NIA WPL5020301 -00 01/01/12 01/01/13 WC STATU- OTH- X TORY LIMI IS ER E.L. EACH ACCIDENT _ $ 1,000,00 E . DISEASE - EA CMPLOYC - 5 1,000,00 (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below C.L. DICCASC - r'OLICY LIMIT 1, 1,000,00 A `California Capital '3 SLA3024653 LANDSCAPE 0414112 04;1413 Occurence 1,000,04 I LIABILITY POLICY Gen Agg 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: Gilroy Library landscaping NOTE: A 10 day cancellation clause applies for non- payment of premium. 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. AUTHORIZED REPRESENTATIVE t © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD