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HomeMy WebLinkAboutSCVWD - Insurance Certificate (Cal Engineering & Geology)rel cuir_ISI� ACORD. : ' 'CERTIFICATE OF LIABILITY INSURANCE •.. QATI DD/YYYY' 1/03i2017 - 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 THEr. ISSUING INSURER (SY,,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' ertificate does not confer, rights to_the . certificate holder in lieu of such endorsement(s). PRODUCER _._ __ ._..._ .. ..... _.. -_ Dealey, Renton & Associates, CONTACT Doris A. Chambers _ NAME: PHONE 510 465 -3090 FAx AIC No Ext : A/C 510 452 -2193 No P. O. Box 12675 Oakland, CA:'94604 -2675 510 465 -3090 - David C. Eckman E AAAIL dchamberS Beale renton.com .: ADDRESS: @ Y INSURERS) AFFORDING COVERAGE NAIC # INSURER A, Travelers Property Casualty Co 25674 INSURED. " Cal Engineering & Geology, Inc. INSURER B: National Union Fire Ins Co Pitt 19445 INSURER C: American Automobile Ins. Co. 21849 1870 Olympic Boulevard, #100 Walnut Creek, CA 94596 -5013 INSURER D: Terra Insurance Company NEN.PERSONAL 'L AGGREGATE LIMIT APPLIES PERT PRO•• POL.ICY.. L X, JECT C] LOC OTHER: INSURER E: West American Insurance Co. 44393 INSURER F: - $4,000 OOO .. CnVERAAGES CERTIFICATE NUMBER! :REVISION NUMBER: THIS 1S 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. LT R LTR' TYPE OF INSURANCE ADDL WVD POLICY NUMBER MM /DDY EFF POLICY EXP LIMITS A j(j COMMERCIAL GENERAL LIABILITY I CL AIMS -MADE OCCUR X X 6806HOO4023 1/0112017 - - 01/01/201 - EEAACH�OEC7CURRENCE s2,000,000 PREMISES EaEaxur ence $1,000,000 MED EXP (Any one person) $10 OOO A ADV!INJURY $2 000000 NEN.PERSONAL 'L AGGREGATE LIMIT APPLIES PERT PRO•• POL.ICY.. L X, JECT C] LOC OTHER: GENERAL AGGREGATE $4,000 000 PRODUCTS - COMP /OP AGG . - $4,000 OOO .. $ .. .. . E AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X 'NIRED AUTOS X AUTOS X X 02 BAW559895. l/01/2017 01/0.1/201 =. .. COMBIN SINGL E LIMIT EaaccldenED t . 1,000,000 _ BODILY INJURY (Per person) _ $ BODILY INJURY (Per accident), $ PRO PER TYDAMAGE Per accident $ $ B X _ UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE X X EBU038180669 1/01/2017 01/01'/2618 EACH OCCURRENCE s3.000.000 AGGREGATE s3,000,000 DEC) RETENTION $ $ C WORKERS COMPENSATION - AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE nV I N OFFICER/MEMBER EXCLUDED9 EN (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N,1 A. X WZP81037233 1/01/2017 01/01/2018 I X PER OTH- - E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 I.E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional Liability X 217221 1/01/2017 12/31/2011 $1,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached if more space is required) GENERAL LIABILIV'POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: project: SCRWA Monitori ng Wells /CEG#150690 City of Gilroy is named as Additional Insureds to General Liability per policy form wording. City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tY Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED dN Attn: Engineering Division ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 -0000 AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1900427/M1898254 DAC COMMERCIAL GENERAL LIABILITY Policy Number: 6806H004023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II - WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c. With respect to the independent acts or omis- sions of such person or organization; or d. For "bodily injury", "property damage" or "per- sonal injury" for which such person or organi- zation . has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. If. This insurance does not apply to the render- ing of or failure to render any "professional services ". g. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations ex- ceed the -limits of liability required by the "writ- ten contract requiring insurance ", the insur- ance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance ". This endorsement does not increase the lim- its of insurance described in Section III - Lim- its Of Insurance. h. This insurance does not apply to "bodily inju- ry" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifi- cally requires you to provide such coverage for that additional insured, and then the insur- ance provided to the additional insured ap- plies only to such "bodily injury" or "property damage" that occurs before the end of the pe- riod of time for which the "written contract re- quiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SEC- TION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible other in- surance, whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the ad ditional insured under this Coverage Part must apply on a primary basis or a primary and non- contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organizations as a named insured for such loss, 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 signed that "written contract requir- ing 'insurance ". But this insurance provided to the additional insured still is excess over valid and CG D3 81 09 15 © 2015 The Travelers Indemnity Company. All rights, reserved. Page 1 Of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY collectible other insurance, whether primary, ex- cess, contingent or on any other basis, that is available to the additional insured when that per- son or organization is an additional insured under any other insurance. 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV - COMMERCIAL GENERAL LI- ABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you be- fore, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINI- TIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provid- ed that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in ef- fect; and c. Before the end of the policy period.. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG D3 81 09 15 Includes the copyrighted material of Insurance Services Office, Inc., with its permission