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HomeMy WebLinkAboutEMC Planning Group - Insurance CertficateAC o; R° CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDMM) 4/30/2015 "MIS 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 NAME: Monique Thanos, CIC PHONE (631) 624 -1234 F� N (831) 62.4 -4605 N 0. =Ss, moniquet@ carmelinsurance. com INSURERS AFFORDING COVERAGE NAIC # INSURIERA:Colony Insurance Company M LIfrs 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.F: X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER:GL - Prof- 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 BY PAID CLAIMS. IR� LT LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER -POLICY POLICY )n EXP M LIfrs GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RE PREMISES Ea occurrence $ 50,000 A CLAIMS -MADE Fx_1 OCCUR EPK302184 /1/2015 /1/2016 MED EXP (Any one person $ 5,000 PERSONAL 8ADV'INJURY $ 1,000'1000 X Aggregate Limits Include Errors 6 Omissions GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 3,000,000 DEDUCTIBLE PER OCCURR $ 10,000 X POLICY 7 PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ B >< ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS P3047177663 /1/2015 /1/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON-OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION WC STATU- OTH- TQRY LIMITS 1, FR' El AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECU "a:" i E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE' - POLICY LIMIT 1 $ LIf A E=ror9 6 Omissions PK302184 /1/2015 /1/2016 EACH CLAIM LIMIT 1,000,000 Retroactive Date 6/22/02 DEDUCTIBLE EACH CLAIM 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Wren Investors USA Amendment EIR, 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. CERTIFICATE HOLDER CANCELLATION The City of Gilroy Planning Divison Melissa Durkin 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) ItiCfl94 nn +nnc� n+ 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. Tr... A ,-non ....»........a r...... s p,-nnn EMC PLANNING GROUP, INC. Policy #EPK302184 5/1/15 - 5/1/16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION ONGOING OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Nano Of Additional Insured Person(s) Or Or nizatio s : Locations Of Covered Operations-. Where Required By Written Contract Where Required By Written Contract 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 toinclude 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 ads 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. 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 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. EMC Planning Group, Inc. Policy #: ACP3047177663 Policy Term: 5101/15 to 5/01116 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, 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) Ac • ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �-� 3/19/2015 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 CONTACT Monique Thanos, CIC NAME: Carmel Insurance Agency PHONE (831)624-1234 (A/C No.Extl: 1 (A/C.No): (831)624-4605 jkx San Carlos 2 NW of 8th ADE-MDAIL SS:moniquet@carmelinsurance.com RE P.O. Box 6117 INSURER(S)AFFORDING COVERAGE _ NAIC# Carmel CA 93921-6117 INSURERA:COlOny Insurance Company INSURED INSURER B Nationwide Mutual EMC Planning Group, Inc. INSURERC: 301 Lighthouse Avenue INSURERD: Suite C INSURER E: Monterey CA 93940 INSURER F: COVERAGES CERTIFICATE NUMBER:GL/Prof & 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 BY PAID CLAIMS. ILTS R TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM DC DY/YYYY) (MM/DD//YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES 000 PREMISES(Ea occurrence) $ r A CLAIMS-MADE X OCCUR EPK302184 5/1/2014 5/1/2015 MEDEXP(Any one person) $ 5,000 X Aggregate Limits Include PERSONAL&ADV INJURY $ 1,000,000 Professional Liability GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 POLICY PST LOC DEDUCTIBLE PEROCCURR $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ACP7844920791 3/15/2015 3/15/2016 X ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED - AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE _ AUTOS (Per accident) UMBRELLA LIAB ^ OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? j N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ A Errors & Ommissions EPK302184 5/1/2014 5/1/2015 EACH CLAIM LIMIT 1,000,000 Retroactive Date 8/22/02 DEDUCTIBLE EACH CLAIM 10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: Wren Investors USA Amendment EIR, 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. UPDATE FOR AUTO RENEWAL ONLY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Gilroy Planning Divison Melissa Durkin AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 M Little, CIC/ARTJ�,�-w.J�C ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. imcn1R ron,nna, ( EMC Planning Group, Inc. Policy #: ACP7844920791 Policy Term: 3/15/15 to 3/15/16 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, 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)