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HomeMy WebLinkAboutRJA - Insurance CertificateClient#• 1753 RUGGEASSO ACORDTM CERTIFICATE OF LIABILITY INSURANCE _T611 8/201 DM) PRODUCER Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604 -2675 510 465 -3090 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Ruggeri-Jensen-Azar & Associates 4690 Chabot Drive, Suite 200 Pleasanton, CA 94588 -2747 INSURER A: Travelers Indemnity Co. of Conn INSURER B: Travelers Property Casualty Co INSURER c: Travelers Property Casualty Ins INSURER D: Liberty Insurance Underwriters, INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD POLICY EXPIRATION DATE MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [A] OCCUR X Contractual 680212OL852 06/19/13 06/19/14 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Anyone fire) 1$1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 Liability GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: POLICY X PECT LOC PRODUCTS - COMP /OPAGG $4,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA2113LOOl 06/19/13 06/19/14 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR FI CLAIMS MADE DEDUCTIBLE RETENTION $ CUP9B546956 06/19/13 06/19/14 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UB3766T417 09101/12 09/01/13 A WCSTIMIT OER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D OTHER Professional Liability AEE1964770113 06/19/13 06/19/14 $1,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability Policy excludes claims arising out of the performance of professional services. RE: On -call civil engineering design. General & Auto Liability: City of Gilroy, its officers & employees are included as additional insured. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL.%J(R5ffi%X(J(J MAIL 30DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT, BK70f% "jjV" 1N1Wtxx WIPJAEx 1�IJGliX7QK7{l(X)dftllxlP�flyDlx JO�X fATIVE ACORD 25S (7/97)1 of 1 #S641739/M641022 NMF © AGUKU GUKPUKAI IUN lUt3tf POLICY NUMBER: 680212OL852 COMMERICAL GENERAL LIABILITY ISSUE DATE: 06/19/13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 PROJECT /LOCATION OF COVERED OPERATIONS: On -call civil engineering design. NAME OF ADDITIONAL INSURED PERSON(S) OR ORGANIZATION(S) CONT.: City of Gilroy, its officers & employees PROVISIONS A The following is added to WHO IS AN INSURED The insurance provided to such additional (Section II): insured is limited as follows: The person or organization shown in the Sched- ule above is an additional insured on this Cover- d. This insurance does not apply to the render - age Part, but only with respect to liability for bod- ing of or failure to render any "professional ily injury ", 'property damage" or `personal injury services ". caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on e. The limits of insurance afforded to the addi- your behalf. tional insured shall be the limits which you agreed in that 'contract or agreement requir- a. In the performance of your ongoing oper- ing insurance" to provide for that additional ations" insured, or the limits shown in the Declarations for this Coverage Part, b. In connection with premises owned by or whichever are less. This endorsement does rented to you; or not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for C. In connection with your work and included this Coverage Part. within the "products- completed operations hazard." B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL Such person or organization does not qualify as LIABILITY CONDITIONS (Section IV): an additional insured for "bodily injury", "property However, if you specifically agree in a contract or damage" or "personal injury' for which that person agreement requiring insurance that, for the addi- or organization has assumed liability in a contract tional insured shown n the Schedule, the insur- or agreement. ance provided to that additional insured under this CG D3 82 09 07 Page 1 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission COMMERICAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal injury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 Page 2 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission