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HomeMy WebLinkAboutFirst Alarm Security & Patrol - Insurance Certificate (2018)Ac"R " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/ DfY 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. 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 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 CONTACT -NAME: Lori Wagner Inte , PHONE AX #0601094 Ext : 925- 977 -4101 No : 831- 635 -9237 ac o ALicense ADDRIESS: lwagner@iwins.com 330 Tres Pinos Road Suite A -1 Hollister CA 95023 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Philadelphia Ind. Ins. Co. 18058 $ 1,000,000 INSURED FIRST -P INSURER B: Arch Insurance Company 11150 First Alarm Security & Patrol, Inc. BFPD, XCU dba First Security Services INSURERC: INSURER D: X 1731 Technology Drive, Ste. 800 San Jose CA 95110 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 101901n32A REVISION NUMRER- 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 INSD WVD POLICY NUMBER MMIDDY /YYYY MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE J OCCUR Y PHPK1674413 7/1/2017 7/1/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO Ea RENTED PREMISES occurrence $ 1,000,000 X MED EXP (Any one person) $ 20,000 BFPD, XCU X E &O PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY F-k] jE 0 F7] LOC GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y PHPK1674413 7/1/2017 7/1/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO IAUTOS OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE ­ Per accident A UMBRELLA LIAB X OCCUR PHUB589810 7/1/2017 7/1/2018 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y ZAWC19415601 4/1/2018 4/1/2019 X PER OTH- STATUTE ER E.L. ACH ACCIDENT $ 1,000,000 ANYPROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A DISEASE-EA E.L. EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,D00,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Gilroy, its officers, officials and employees are named as an additional insured, per the attached endorsement Re: All operations performed by Named Insured For Certificate Holder., specifically Under direction from both Public Works and Police Department staff, First Security will provide nightly after -hour park security patrol services for park, trails and landscaped facilities that are closed. Park security patrol services shall include but not be limited to; • Securing gates, securing restrooms, secure pool(s), securing miscellaneous facilities as may be needed • Park patrol staff shall eject after hour trespassers (sleepers and campers), eject unauthorized vehicles, and respond to calls for service for limited after hour special events and aide park visitors with after hour permits • Park patrol shall provide the City with nightly patrol report document patrol activities in general and identified vandalism and problem after- hour park visitors See Attached... CERTIFICATE HOLDER CANCELLATION ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 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, its officers, officials and employees 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: FIRST -P LOC #: ACC?I?" ® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED InterWest Insurance Serv., LLC First Alarm Security & Patrol, Inc. dba First Security Services 1731 Technology Drive, Ste. 800 POLICY NUMBER San Jose CA 95110 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE and provide photograph records of suspicious vehicles and persons. • Park Patrol shall make various site visits throughout Gilroy as deemed needed by patrol staff or by direction of designated City Staff. • When found park patrol shall promptly report any theft, attempted theft, arson, and report activity that could suggest copper wire security concerns • Park Patrol shall engage, document and report any negative contacts, and shall call for Gilroy Police response if uncooperative trespasser are encountered. • Weekly night patrol hours @ 8 hrs. per night = 56 hours per week / March thru October • Wkly winter night patrol hours / 6 hrs. Per Fri & Sat. / 4 hrs. Mon. - Thur. = 32 hours per wk. / Nov. thru Feb. Additional Insured status applies to requested entities if required by written contract per the attached endorsement(s). City of Gilroy, its officers, officials and employees ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PHPK1674413 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement 07/01/2017 Effective: Named Insured: First Alarm Security & Patrol, Inc. dba First Security Services SCHEDULE Name of Person(s) or Organization(s): Blanket where required by written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. Limited only to the operations of the insured, such insurance afforded by this endorsement for the additional insured shall apply as primary insurance. Any other insurance maintained by the additional insured or its officers and employees shall be excess only and not contributing with the insurance afforded by this endorsement. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 POLICY NUMBER: PHPK1674413 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 Organization(s) Locations Of Covered Operations Blanket Additional Insured As required by written contract As Required by Contract 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. B. 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 However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 Policy Number: PIIPKI674413 PI- MANU -1 (01/00) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY PRIMARY /NON- CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name and Address of Person or Organization: Any Person or Organization as Required by Written Contract. It is understood and agreed that coverage for the person or organization shown in the above schedule is primary and non - contributory as respects liability created by the errors, acts or omissions of the named insured herein and subject to the terms and conditions in the Additional Insured Endorsement attached hereto. All other terms, conditions, limitations, and exclusions of this policy are unchanged and applicable. All other terms and conditions of this Policy remain unchanged. Page 1of1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) POLICY NUMBER: ZAWCI9415601 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION WHERE ALL JOBS UNDER CONTRACT WAIVER OF OUR RIGHT TO RECOVER IS PERMITTED BY LAW AND IS REQUIRED BY WRITTEN CONTRACT PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO DATE OF LOSS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04 -01 -18 Policy No. ZAWCI9415601 Endorsement No. Insured FIRST ALARM SECURITY & PATROL, INC. DBA FIRST SECURITY SERVICES Premium $ INCL . Insurance Company ARCH INSURANCE COMPANY Countersigned By DATE OF ISSUE: 3 -22 -18 ©1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's Cafrfornia Workers' Compensation Insurance Forms Manual © 1999.