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HomeMy WebLinkAboutEMC Planning Group - Insurance CertificateACORD® CERTIFICATE OF LIABILITY INSURANCE `.�►� F5/1/2014 D /DD/YYYY) 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 Carmel Insurance Agency San Carlos 2 NW of 8th P.O. BOX 6117 Carmel CA 93921 -6117 CONTA ME: qu CT MOIIi a Thanos , CIC PHONE ($31),' 24 -1234 F (831) 626 -6605 AfC EMAIL .moniquet: @carmelinsurance.com. INSURERS AFFORDING COVERAGE NAIC # INSURER A:Colon Insurance Company LIMITS INSURED EMC Planning Group, Inc. 301 Lighthouse Avenue Suite C Monterey CA 93940 INSURER B.Nationwide Mutual INSURER C: INSURER D INSURER E -- - $ 1,000,000 INSURER X_ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � 0 CCUR COVERAGES CERTIFICATE NUMBER:GL & Prof 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 BYIPAID CLAIMS. ILT R - - TYPE OF INSURANCE DL POLICY NUMBER MM/LDD� MMLI D EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE -- - $ 1,000,000 A X_ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � 0 CCUR PK302184 /1/2014 5/1/2015 D PREMISES (Ea 6 re $ 56,00b MED EXP (Anyone person) -" PERSONAL & ADV INJURY $ _. 1- ,000,000 X- Aggregate Limits Include :Professional Liability GENERAL AGGREGATE $ 3,.660, 666 GE N L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ _ 3,0001 000 j X- _POLICY_ PRO - LOC DEDUCTIBLE PER OCCURR -- $ 10,000 AUTOMOBILE LIABILriY E COMBINED ED LMI -- — 11-000,000 B 7[ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON SWNED CP7834920791 /15/2014 /15/2015 BOD ILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERde DAMAGE. r. -- UMBRELLA LIAB OCCUR EACH OCCURRENCE - AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTION $ _ WORKERS COMPENSATION I WC "STAT.0 OTH- - - - AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A E.L EACH ACCIDENT _ I - E.L. DISEASE - EA EMPLOYE $ . (Mandatory in NH) If yes, describe under 'DESCRIPTION OF OPERATIONS. below E.L. DISEASE - POLICY LIMIT $ A Errors a Ommissl.onS EPK302184 /1/2014 /1/2015 EACH CLAIM LIMIT 1,000,000 DEDUCTIBLE EACH CLAIM 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more spaee Is required) RE: Hecker Pass West Cluster Project - Subject to a Signed, Written Agreement: The City of Gilroy, its officers and employees are named as Additional Insured under the General Liability per attached endorsement EV242 -0312 and under the Auto Liability per attached endorsement CA2048 02/99. 10 Days Notice of Cancellation for Non - Payment of Premium. I The City of Gilroy Planning Divison Melissa Durkin 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (201 D/95) INS029 oninnsi m i 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 Little, CIC /MRT�r����_K -�'% ©1988 -2010 ACORD CORPORATION. Th6 ARr1Ri i name anei Inn^ are renietereri marira ^f ArnRn EMC Planning Group, Inc. Policy #: ACP7834920791 Policy Term: 3/15/14 to 3/15/15 CA 20 48 (02 -99) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement doe's not alter coverage provided in the Coverage Form. SCHEDULE Name of Person(s) or Organization(s): The City of Gilroy, its officers and employees. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. Copyright, Insurance Services Office, Inc., 1998 CA 20 48 (02 -99) EMC PLANNING GROUP, INC. Policy #EPK302184 5/1/14 to 5/1/15 i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARr=FULLY_ This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location Of Covered Operations: Where Required By Written Contract Where Required By Written Contract i Information required to complete this Schedule, if not shown above, wig be shown in the Declarations. A. Section 111 — Who Is An Insured within the Common Policy Provisions 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 7. All work, including materials, parts or equipment furnished in c6nnection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional 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 ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EV242 -0312 Includes copyrighted. material of ISO Properties, Inc., Page 1 of 1 with its permission. ACOR ®® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 3/17/2014 '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: ff 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 h_ older in lieu of such endorsement(s), _ PRODUCER Carmel Insurance Agency, Inc. San Carlos 2 NW of 8th P.O. BOX 6117 Carmel CA 939216117 CONTACT Monique R. Thano3 CIC NAME: PHONE- (831) 624 -1234 1 FAX, No: (931)62.4 -4605 E-MAIL PRODUCER INSURER(S) AFFORDING COVERAGE NAIC s! INSURED E M C Planning Group,.Inc. 301 Lighthouse Avenue, Suite C Monterey 'CA 93940 INSURERA M CO Insurance Company hCP7834920791 INSURER B Nationwide Mutual 3/15/2015 INSURER C: $ 2,000,000 INSURER D: $ 1,000'.000 INSURER E: - $ 5,000 1l6URERF: $ 2, 000, 000 COVERAGES CERTIFICATE NUMBER:GL 6 Auto 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:BYPAID CLAIMS. INSR LTR :• - TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF ;. POLICY. D LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR hCP7834920791 3/15/2014 3/15/2015 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000'.000 MED EXP one person $ 5,000 PERSONAL aADV INJURY $ 2, 000, 000 GENERAL AGGREGATE $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY PRO X LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS P7834920791 3/15/2014 3/15/2015 COMBINED SINGLE LIMIT ( acadent). $ 1,000,000 j{ BODILY INJURY (Per person) $ BODILY INJURY (Per aoddent)' $ PROPERTY DAMAGE I (Per amident) $ . $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNERIEXC-CUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, desalbe under DESCRIPTION OF OPERATIONS below N/A WG STATU- OTH �' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: Hecker Pass West Cluster Project - Subject to a Signed, Written Agreement: The City of Gilroy, its officers and employees are named as Additional Insured under the General Liability 6 Auto Liability. 10 Day Notice of Cancellation Applies for Non - Payment of Premium. Attached Endorsements PB6003 04/11 6 CA2048 02/99. The City of Gilroy Planning Divison Melissa Durkin 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2009/09) 6ANL,r_LL.A 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 Little, CIC/MRT - -- y.� . - ©1988 -2009 ACORD CORPORATION. All riohts reserved. INS025 (2009091 1 ne AcUKU name and logo are registered marks of AGORD EMC Planning Group, Inc. — Policy Number: AGP7834920791 — 3/15/2014 - 3/15/2015 BUSINESSOWNERS PB60030411 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MUNICIPALITIES OR PUBLIC AGENCY- INSURED PROVIDING PROFESSIONAL SERVICES This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM The following is added to Section II. WHO IS AN INSURED: The municipality and /or public agency designated in the Schedule of this endorsement is also an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in connection with your operations, other than the rendering of or the failure to render professional services, advice of instruction, subject to the following additional exclusion: This insurance, including any duty we have to defend "suits ", does not apply to "bodily injury", "property damage" or "personal and advertising injury" that arises out of, in whole or in part, or is a result of, in whole or in part, the active or primary negligence of the municipality and /or public agency designated in the Schedule of this endorsement, whether or not such negligence has been assumed by you in a contract or agreement. All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Municipality and/or Public Agency: The City of Gilroy, its Officers and Employees 7351 Rosanna Street Gilroy, CA 95020 -6141 PB 60 03 0411 Page 1 of 1 EMC Planning Group, Inc. Policy #: ACP7834920791 Policy Term: 3/15/14 to 3/15/15 CA 20 48 (02 -99) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name of Person(s) or Organization(s): The City of Gilroy (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. Copyright, Insurance Services Office, Inc., 1998 CA 20 48 (02 -99)