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HomeMy WebLinkAboutStages Unlimited - Insurance Certificate�--=� STAGUN1 OP ID: CF CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDlYYYY) 01/19/2018 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' UVIS Donald R Hardy Agency'. P.O.'Box 308 Ca itola,'CA 95010 P Donald R. Hardy CONTACT Laurie Tagiuriod' - - PHONE FAX - 475 =9524 5 - A,c No31 83147 8= E -MAIL ADDRESS: lauriet@hardyins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: New York Marine 004676 _ EACH OCCURRENCE INSURED Stages Unlimited INSURER B: Progressive Insurance Company 11770 P.O. Box 578 Gilroy, CA 95021 INSURER C: State Compensation Ins. Fund 35076 - $ 5,000 INSURER D: $ 1,000,000 INSURER E GENERAL AGGREGATE $ 2,000,000 INSURER F , $ - . , 2,000,000 - 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 I TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DD /YYYY POLICY EXP MM /DD /YYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X GL201700007411 09/15/2017 - 09/15/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 10O 000 $ � MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 _GFN'L AGGREGATE LIMIT APPLIES PER POLICY ' PRO- LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP A'GG , $ - . , 2,000,000 - $ - - - B„ 'AUTOMOBILE LIABILITY �, ANY AUTO 'ALL OWNED X SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS _039675831 10/2612017 10/26/2018 COMBINED SINGLE LIMIT Ea accident) $ "1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ I$ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UM201800006441 01/03/2018 02/03/2018 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DED RETENTION $ $ C 'WORK ERS.COM PEN SATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y / N OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) if y -es doscobo under DL- SCRIPTION OF OPERATIONS below N/A 912318318 01/23/2018 01/23/2019 X PER OTH- STATUTE ER E L EACH ACCIDENT _ $ 1,000,000 E L DISEASE - EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT $ 1,000,000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Gilroy, its officers and employees are named as additional insureds per attached endorsement CG20260704. CERTIFICATE HOLDER CANCELLATION CITYGI1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy; CA 95020 -6197 Donald R. Hardy ©1988 -2014 ACORD CORPORATION. All rigs reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLI `IT CY NUMBER: GL201700007411 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL INSURED -- DESIGNATED PERSON OR ORGANIZATION Thls endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE ne Of Additional Insitre,d�Person(�) Or O�ganlzationW___„_. Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy prior to performance of the agreement, rma fired to complete this Schedule, if not shown above, will be shown In the Declarations. Se!ctlon li - Who Is An Insured Is amended to in- clude as an additional Insured the person(a) or organi- za lon(4) shown in the Schodute, but only with respoot to Ilablllty for "bodily Injury ", "proporty d &wnage" or "Personal and .advortising injun /" caused, In whole or Ir pert, by your orts or omlaelons or the tots or umis- sl ns of those acting on your behalf: A, In the performance of your ongoing operations,, or B, In connection with your premises owned by or rented to you, i 'G 20 20 07 04 © ISO Properties, Inc., 2004 Page: 1 of 1