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HomeMy WebLinkAboutRandazzo Enterprises - Insurance CertificateRANDA -3 OP ID: LM ACORO CERTIFICATE OF LIABILITY INSURANCE 70413/2015 (MM /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 DCD Financial & Insurance Svcs P.O. Box 4209 1123 Soquel Ave Santa Cruz, CA 95062 NAME: CT Clay Timmons PHONE 831 23 -8542 FAX No): 831 -423 -5714 A/c No Ell: EMAIL ADDRESS: X COMMERCIAL GENERAL LIABILITY Clay Timmons INSURERS AFFORDING COVERAGE NAIC # INSURER A: Interstate Fire & Casualty 22829 $ 1,000,00 INSURED Randazzo Enterprises, Inc. INSURERS: American Auto Insurance Co. 21857 13550 Blackie Rd. Castroville, CA 95012 INSURER C: Scottsdale Insurance 41297 INSURER D: Westchester Sur lus Lines 10172 [INSURER E: MED EXP (Any one person) $ 5,00 INSURER F 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 LTR TYPE OF INSURANCE A L SUB POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE FX7 OCCUR X DAN1000361 04/13/2015 04/13!2016 PREMISES JEa occurrence $ 300,00 MED EXP (Any one person) $ 5,00 PERSONAL 8 ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY X PRO- JECT 7] LOC PRODUCTS - COMP /OP AGG $ 2,000,00 Deduct $ 5,00 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 B X ANY AUTO MXA80312144 04/13/2015 04/13/2016 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE FOF.ident $ NON -OWNED X HIRED AUTOS X AUTOS UMBRELLA L11 X OCCUR EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000,00 C EXCESS LIAB CLAIMS -MADE XLS0096748 04/13/2015 04/13/2016 DED I X I RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ D Pollution G27583246001 04/13/2015 04/13/2016 Limit 1,000,00 Deduct 5,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy is named as additional insured per Blanket Al Forms CG 20 10 10101 & CG 20 37 10/01 attached, with respect to operations of the named insured at Job #5566 7350 Rosanna Street Gilroy, CA 95020 CITYGA City of Gilroy Building Department 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 ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Policy No. DAN1000361 Randazzo Enterprises, Inc. COMMERICAL GENERAL LIABILITY CG 20 37 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Blanket when required by written contract Location and Description of Completed Operations: m: As Per Contract Included no entry appears above, information required to complete this Schedule, if not shown here, will be shown in Declarations as applicable to this endorsement.) Section II — Who Is An Insured 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 10 01 ISO Properties, Inc., 2000 Page 1 of 1 Policy No. DAN1000361 POLICY NAME: Randazzo Enterprises, Inc. COMMERCIAL GENERAL LIABILITY CG 20 10 10/01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE or Organization: Blanket when required by written contract. Project: As described in the contract or agreement. A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions 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 additional insured(s) at the site 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 other person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 1010 01 Page 1 of 1