The URL can be used to link to this page

Home My WebLink AboutPlaceWorks - Insurance CertificateDATE (MM /DD /YYYY) l` CERTIFICATE OF LIABILITY INSURANCE 063012016 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 Marsh Risk & Insurance Services NAME: 17901 Von Karman Avenue, Suite 1100 AIC r o EMr (A/C. No): (949) 399 -5800; License #0437153 E -MAIL Irvine, CA 92614 ADDRESS: Attn: NewportBeach .CertRequest@marsh.comlF: 212- 948 -4323 INSURERS AFFORDING COVERAGE NAIC # 980627- 01- 01 -16 -17 INSURER A : Crum & Forster Specialty Insurance Co 44520 INSURED INSURER B: Travelers Property Casualty Company Of America 25674 Placeworks Dba: The Planning Center INSURER C: Design Community & Enviomment INSURER D: 3 MacArthur Place, Suite 1100 - -- Santa Ana, CA 92707 INSURER E: COVERAGES CERTIFICATE NUMBER: LOS- 001721259 -10 REVISION NUMBER-6 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM /DD /YYYY ) (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X X EPK113418 07/01/2016 0710112017 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE �J OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 X MED EXP (Any one person) $ 5,000 BI & PD Ded. $5,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 5,000,000 X POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG $ 5,000,000 Contractors Pollution $ 5,000,000 OTHER B AUTOMOBILE LIABILITY X X BA7E37616716CAG 07/01/2016 07/01!2017 COMBINED SINGLE LIMIT Ea accident $ 1.000.000 X BODILY INJURY (Per person) _ $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS Comp /Coll Deductibles _ $ $1,000 B UMBRELLA LIAR X OCCUR CUP7E376167TIL16 07/01/2016 07/01/2017 EACH OCCURRENCE $ 4.000,000 X AGGREGATE $ 4.000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE YM OFFICER /MEMBER EXCLUDED (Mandatory in NH) N/A UB7E37616716 07/01/2016 07/01/2017 X STATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ 1,000,000 A Errors & Omissions - Claims Made EPK113418 07/01/2016 07/01/2017 Each Claim/Aggregate 5,000,000 Retro Dates: See 2nd Page DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re. Job #1036, Gilroy High Speed Train Visioning Project The City of Gilroy, officers, representatives, agents, and employees are included as additional insured where required by written contract with respect to General and Auto Liability. This insurance is primary and non - contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to General Liability. Waiver of subrogation is applicable where required by written contract with respect to General and Auto Liability. l.tK 1 11-It A I t NULUtK C:ANUtLLA I IUN The City of Gilroy Attn. Rick Smelser, City Engineer 7351 Rosanna St. 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 of Marsh Risk & Insurance Services John Graef © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD