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HomeMy WebLinkAboutStages Unlimited - Insurance Certificate (2018)STAGUN1 OF ID: LT AcoRV° CERTIFICATE OF LIABILITY INSURANCE r ATE(MM /ODIYYYY) 03/28/2018 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 Donald R. Hardy NAME- Laurie Taglunod PHONE g31- 475 -4314 (FAX No: 831 - 475 -9524 (Al c No Ext E-MAIL lauriet hard ins.com ADDRESS: INSURER (S) AFFORDING COVERAGE NAIC # INSURER A: New York Marine 1004676 EACH OCCURRENCE INSURED Stages Unlimited INSURER B: Progressive Insurance Company 11770 P.O. Box 578 Gilroy, CA 95021 INSURERC:State Compensation Ins. Fund 35076 INSURER D: New York Marine 004676 INSURER E: PERSONAL & ADV INJURY $ 1,000,000 INSURER F : GENERAL AGGREGATE 5 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 TYPE OF INSURANCE ADDL IN SD B WVD POLICY NUMBER POLICY EFF MMIDDIYYY POLICY EXP I MM /DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR %� I I GL201700007411 I I 09/15/2017 I 09!15!2018 I EACH OCCURRENCE $ 1,000,000 ONd;EA 'FO htN IED PREMISES Ea occurrence S 100,000 MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE 0 LOC OTHER: GENERAL AGGREGATE 5 2,000,000 PRODUCTS - COMPIOP AGG S 2,000,000 S AUTOMOBILE LIABILITY B , ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS X HIRED AUTOS NON -OWNED AUTOS 039675831 10/26/2017 10/26/2018 COMBINED SINGLE LIMIT Ea accident S 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S 5 D f I UMBRELLA LIAB X I OCCUR EXCESS LIAB CLAIMS-MADE UM201800006441 03/27/2018 04/27/2018 EACH OCCURRENCE $ 3,000,000 AGGREGATE s - I DED 1 , RETENTIONS 1 S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNERJEXECUTIVE �N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) Ues describe under IPTION OF OPERATIONS balmy I A 912318318 01/23/2018 01/23/2019 JPER STATUTE �R H- E.L. EACH ACCIDENT_ S 1,000,000 E.LDISEASE - EAEMPLOYEEIS 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 I Donald R. Hardy ACORD 25 (2014/01) ©1988.2014 ACORD CORPORATION. All rig is reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GL201600007411 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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) 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. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II - Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zations) 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 your acts or omissions or the acts or omis- sions 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. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑