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HomeMy WebLinkAboutFinancial Credit Network - Insurance Certificate (2019)_- Mutuatyl.. INSURANCE NOTICE OF REINSTATEMENT Policy number BKS56435941 is reinstated without any lapse in coverage for the period of 03/31/2018 - 03/31 /2019. The reinstatement is dependent upon payment being honored by the financial institution. If payment is not honored by the financial institution, the policy will terminate on the date and time shown on the cancellation notice issued for non-payment of premium. Agent No: 4295582 Agent: TELEPHONE (559) 733-1181 BUCKMAN-MITCHELL INC PO BOX 629 VISALIA, CA 93279-0629 Notice Mailed To: CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET GILROY, CA 95020 Date of Notice: 01/25/2019 Policy Number: BKS56435941 Account of: FINANCIAL CREDIT NETWORK INC PO BOX 3084 VISALIA, CA 93278 Coverage Provided By: OHIO SECURITY INSURANCE COMPANY Policy Period: 03/31/2018 - 03/31/2019 Account Number: 801233330 For Billing Inquiries: 1-866-290-2920 mybusinessonline.libertymutual.com Info Copy REINS 02260 BKS56435941 01250059 004927 ZCXCPEN Page 1 NOTICE OF CANCELLATION STATE OF CALIFORNIA CANCELLATION WILL TAKE EFFECT AT 12:01 A.M. ON 01/26/2019 Policy No.: BKS56435941 Agent No: 4295582 Agent: TELEPHONE (559) 733-1181 BUCKMAN-MITCH ELL INC PO BOX 629 VISALIA, CA 93279-0629 Issued at: DOVER, NH Notice Issued To: CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET GILROY, CA 95020 NOTICE TO: ADDITIONAL INTEREST Line of Business: COMMERCIAL LINES PACKAGE Liberty Mutual.. INSURANCE Date of Notice: 01/11/2019 Account of: FINANCIAL CREDIT NETWORK INC PO BOX 3084 VISALIA, CA 93278 Company Name: LIBERTY MUTUAL INSURANCE PO BOX 188025 FAIRFIELD, OH 45018-8025 For Payment/Billing Inquiries: 1-866-290-2920 mybusinessonline.libertymutual.com You are hereby notified that your interest under this policy has been cancelled as of the time and date stated above. jv Authorized Representative Info Copy DNOC_INFO 00245 BKS56435941 01110018 000498 GCXCPCN Page 1 NOTICE OF REINSTATEMENT Policy number BKS56435941 is reinstated without any lapse in coverage for the period of 03/31/2018 - 03/31/2019. The reinstatement is dependent upon payment being honored by the financial institution. If payment is not honored by the financial institution, the policy will terminate on the date and time shown on the cancellation notice issued for non-payment of premium. Agent No: Coverage Provided By:Notice Mailed To: Account of:Agent:TELEPHONE BUCKMAN-MITCHELL INC PO BOX 629 VISALIA, CA 93279-0629 FINANCIAL CREDIT NETWORK INC PO BOX 3084 VISALIA, CA 93278 FINANCIAL CREDIT NETWORK INC PO BOX 3084 VISALIA, CA 93278 OHIO SECURITY INSURANCE COMPANY 4295582 (559) 733-1181 Date of Notice: 09/21/2018 Policy Period: 03/31/2018 - 03/31/2019 Policy Number: BKS56435941 Account Number: 801233330 For Billing Inquiries: 1-866-290-2920 mybusinessonline.libertymutual.com Page REINSInsured Copy 09210011BKS56435941 1 Liberty Mutual. INSURANCE September 27, 2018 CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET GILROY, CA 95020 Re: FINANCIAL CREDIT NETWORK INC Account: 801233330 - Policy: BKS56435941 Dear Additional Interest, On 9/20/2018, Liberty Mutual Insurance mailed to the insured reinstatement notices on the above referenced policy after we received payment from the insured by check for the minimum balance required to avoid cancellation of the insured's policy. Liberty Mutual Insurance accepted the insured's check as payment and issued the reinstatement notice on the condition that the insured's check payment would be honored by the insured's bank. Please be advised that Liberty Mutual Insurance received notification from the insured's bank that the insured's check payment has been returned; therefore, the insured's reinstatement notice is null and void and BKS56435941 is cancelled effective 9/26/2018. If you have any questions regarding this action, please contact BUCKMAN- MITCHELL INC or our office. Arlene Concepcion Manager - Commercial Lines Direct Bill Cc: FINANCIAL CREDIT NETWORK INC Billing Service Center - P.O. Box 85834 San Diego, CA 92186 - Phone: (866) 290 -2920 Fax: (619) 744- 6062 NOTICE OF REINSTATEMENT Liberty Mutu1L. INSURANCE Policy number BKS56435941 is reinstated without any lapse in coverage for the period of 03/31/2018 - 03/31 /2019. The reinstatement is dependent upon payment being honored by the financial institution. If payment is not honored by the financial institution, the policy will terminate on the date and time shown on the cancellation notice issued for non - payment of premium. Agent No: 4295582 Agent: TELEPHONE (559) 733 -1181 Account of: BUCKMAN- MITCHELL INC PO BOX 629 VISALIA, CA 93279 -0629 FINANCIAL CREDIT NETWORK INC PO BOX 3084 VISALIA, CA 93278 Notice Mailed To: Coverage Provided By: CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET GILROY, CA 95020 OHIO SECURITY INSURANCE COMPANY Date of Notice: 09/21/2018 Policy Period: 03/31/2018 - 03/31/2019 Policy Number: BKS56435941 Account Number: 801233330 Info Copy REINS For Billing Inquiries: 1- 866 - 290 -2920 mybusinessonline .Iibertymutual.com 01810 BKS56435941 09210050 003927 ZCXCPEN Page 1 NOTICE OF CANCELLATION STATE OF CALIFORNIA Liberty Mutual. INSURANCE CANCELLATION WILL TAKE EFFECT AT 12:01 A.M. ON 09/26/2018 Policy No.: BKS56435941 Agent No: 4295582 Agent: TELEPHONE (559) 733 -1181 BUCKMAN- MITCHELL INC PO BOX 629 VISALIA, CA 93279 -0629 Issued at: SAN DIEGO, CA Notice Issued To: CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET GILROY, CA 95020 NOTICE TO: ADDITIONAL INTEREST Date of Notice: 09/11/2018 Account of: FINANCIAL CREDIT NETWORK INC PO BOX 3084 VISALIA, CA 93278 Company Name: LIBERTY MUTUAL INSURANCE PO BOX 85834 SAN DIEGO, CA 92186 -5834 For Payment/Billing Inquiries: 1- 866 -290 -2920 mybusinessonline .Iibertymutual.com Line of Business: COMMERCIAL LINES PACKAGE You are hereby notified that your interest under this policy has been cancelled as of the time and date stated above. Info Copy DNOC_INFO Authorized Representative 01771 BKS56435941 09110112 003662 GCXCPCN Page 1 FINACRE -02 HELSEA A4 7R6" CERTIFICATE OF LIABILITY INSURANCE ki■/ DATE(MM /DD/YYYY) 08/14/2018 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 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 Buckman - Mitchell, Inc. 500 N. Santa Fe Street Visalia, CA 93292 CONTACT Linda N. Loflin, CIC NAME: PHONE (ac, No, Eat): (559) 635 -3518 (NC, No):(559) 750 -5461 E-MAIL DSS: Iinda @bmlrlC.COm INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: Ohio Security Insurance Co. INSURER B: American Fire & Casualty Co. 24082 24066 INSURED Financial Credit Network, Inc. Alicia Sundstrom P.O. Box 3084 Visalia, CA 93278 INSURERC:State Compensation Ins. Fund 35076 INSURER D : 03/31/2019 INSURER E : $ 1,000,000 INSURER F : 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 POLIC ES 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 INSR SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY1 POLICY EXP (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X BKS56435941 03/31/2018 03/31/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea NTED nce) 500,000 $ GEN'L MED EXP (Any one person) $ 15,000 $ PERSONAL & ADV INJURY AGGREGATE POLICY OTHER: LIMIT APPLIES JECOT- X PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE _ X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOS AUUTOS ONLY BAS56435941 03/31/2018 03/31 /2019 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ BODILY INJURY (Per person) $ $ $ $ BODILY INJURY (Per accident) (Per accident) AMAGE B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ESA56435941 03/31/2018 03/31/2019 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ DED X RETENTION $ 0 Gen! Aggregate $ 3,000,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER (Mandatory EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A 909984718 05/17/2018 05/17/2019 X I STATUTE I I OTH E.L. EACH ACCIDENT 1,000,000 $ F.L. DISEASE - EA EMPLOYEE 1 000,000 , $ E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Service Agreement: Third Party Debt Collection City of Gilroy, its officers, officials and employees are named as an Additional Insured under the General Liability, per the attached endorsement. CERTIFICATE HOLDER CANCELLATION City of Gilroy, it officers, officials and employees y y 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 tt. ' t,'r \j+' ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 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): CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET GILROY, CA 95020 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 in- jury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing oper- ations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permit- ted by law; and 2. If coverage provided to the additional in- sured is required by a contract or agree- ment, 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 26 04 13 B. 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 ap- plicable Limits of Insurance shown in the Dec- larations. @ Insurance Services Office, Inc., 2012 Page 1 of 1 A� °® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 7/25/2018 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 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 Arthur J. Gallagher Risk Management Services, Inc. 4064 Colony Road, Suite 450 Charlotte NC 28211 -3784 CONTACT NAME: Debbie Rongo PHONE 704- 602 -3831 FAX 2-3831 lac. No. Ext): (A/c, No): 704-362-1997 ADDRESS: Debbie ajg.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Great American Fidelity Insurance Co 41858 INSURED FINACRE -02 Financial Credit Network Inc 1300 West Main St Visalia CA 93291 INSURER B INSURER C : INSURER D : $ INSURER E : . $ INSURER F : COVERAGES CERTIFICATE NUMBER: 168998661 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 INSD SUER VD VI/VD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYW) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE RENTE PREMISES O(Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Errors 8 Omissions MPL1751975 2/1/2018 2/1/2019 Each Claim Limit Policy Aggregate Deductible $ 1,000,000 . $ 1,000,000 $ 20,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ■ CERTIFICATE HOLDER' CANCELLATION 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD