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Home My WebLink AboutPrecision Grade - Insurance Certificate (2018)PRFCI.d [1p In. nw — r ,acoRO� CERTIFICATE OF LIABILITY INSURANCE Ika� DATE(MMIDOf"M 1 01/29/2018 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 poiicy(ies) must have ADDITIONAL INSURED provisions or 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 831- 724 -3841 McSherry & Hudson 00 License #56172 35 Penny Lane, Ste. #6 Watsonville, CA 95076 David Weber 4 n David Weber PHONE 831- 724 -3841 FAX 831 -724 -7574 fA� No, Est : C, No AD INSURE S AFFORDING COVERAGE NAIC 0 INSURER A: Gemini Insurance Company 03/31/2018 INSURED Precision Grade Inc. INSURER B: Liberty Mutual Insurance CO 17094 McGuffie Rd. Salinas, CA 93907 INSURER C: State Compensation Ins. Fund INSURER D : Kinsale Insurance Company $ 5,000 INSURER E: PERSONAL & ADV INJURY INSURER F: GEN'L AGGR GATE LB IM APPL $ PER: POLICY j LOC OTHER: GENERAL AGGREGATE COVFRAGFS CERTIFICATE NUMBER- RFVISIC)N 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 TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y OGP001859 03/31/2017 03/31/2018 EACH OCCURRENCE 1,000,000 W� To RENTED $ 100,000 MEO EXP (Any one arson $ 5,000 PERSONAL & ADV INJURY 110001000 GEN'L AGGR GATE LB IM APPL $ PER: POLICY j LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AItTryOSyyNEp AUTOS ONLY AUTO ONLY BAO 1857938233 03131/2017 03/31/2018 COMBINED SINGLE LIMIT S 1,000,000 X BODILY INJURY Pet arson BODILY INJURY_(Per accident PROPER�'Y DAMAGE Peracra e $ D UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 0100056925-0 09/29/2017 0313112018 EACH OCCURRENCE $ r)000'000 X 1AGGREGATE DID RETENTIONS C ANEMPLOYERS, s COMPENSATION LIABILITY ANY PROPRIETORIPARTNERJEXECUTIVE 0 �FFlCERIMEMgER EXCLUDED? Aandatory in NH) If yes, describe under DESCRIPTION 0 OPERATIONS I N/A 9209210 -17 04/2512017 04/25/2018 PER OTH- E.L. EACH ACCIDENT 1,000,000 EL. DISEASE - EA EMPLOYEE 11000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space Is requlrad) Service Agreement: Construction Services by Precision Grade Contractors on Las Animas Park, covers City of Gilroy, its officers, officials and ' employees are named as an additional insured, per the attached endorsement CITYOFG CITY OF GILROY, ITS OFFICERS OFFICIALS AND EMPLOYEES 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 David Weber ACORD 25 (2016103) ®1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy: VOGP001859 CG 2010 0413 Insured Name: Precision Grade, Inc. Number: 18 Effective Date: 03/31/2017 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 Name Of Additional Insured Person(s) Or Or anization s Locations Of Covered Operations For Non - Residential and Non -Mixed use projects For Non - Residential and Non -Mixed use projects only. Any person or organization when you and only. All locations and completed operations for such person or organization have agreed in writing which you and the additional insured have agreed in a contract, prior to an occurrence that causes in writing in a contract prior to an occurrence that "bodily injury ", "property damage" or "personal and causes "bodily injury ", "property damage" or advertising injury ", that such person or organization "personal and advertising injury". be added as an additional insured on your policy. City of Gilroy, its officers, officials, and employees 7351 Rosanna Street Gilroy, CA 95020 Service Agreement: Construction Service by Precision Grade Contractors on Las Animas Park, covers City of Gilroy, its officers, officials and employees are named as an additional insured per the attached endorsement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However, 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 10 04 13 1 of 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 01. With respect to the insurance afforded to these additional insureds, the following additional exclusions 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 additional 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 2of2