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HomeMy WebLinkAboutStages Unlimited - Insurance Certificate (2019)OP ID: JM i AMR'EY �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 09/26/2018 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 -: -,. ,._ ,--" -- -. -. .._... - .x.831- 4.75-4314 --` -- - UVIS Donald R Hardy Agency P.O. Boi( 308• • r - Capitola, CA 95010 Donald R. Hardy CONTACT Jennifer Matson, CSR NAME: - '"�.,._. .._..- - - PHONE 831-475-4314 I FAx 831 -475 -9524. (A/C, No, Eat): (A/C, No): nI DRIESS' JMatson @hardyins'.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : New York Marine 004676 INSURED Stages Unlimited P.O. Box 578 Gilroy, CA 95021 INSURER B : Progressive Insurance Company 11770 INSURER C : State Compensation Ins. Fund 35076 INSURER D : $ 1,000,000 INSURER E : 100,000 $ INSURER F : • vTHIS 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 LIB TYPE OF INSURANCE ADDL JDISD SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYYI POLICY EXP IMM /DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X PK201800013978 _ - 09/15/2018 - - 09/15/2019 .. EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 100,000 $ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE-- • $ 2,000,000 GEN'L X: AGGREGATE POLICY OTHER - LIMIT APPLIES jE�T . _. , PER: LOC PRODUCTS - COMP /OP AGG "$ 2,000,000 .. .- - -- -- $ - - B -- AUTOMOBILE • X LIABILITY,..., ANY AUTO OWNED AUTOS ONLY• • HIRED ONLY' X• . _: . - . -. SCHEDULED AUTOS yy • • NON -O ONLY _...: _. . .. ^ .. . - ..,_. .-... - - - 039675831. .- ... 10/26/2017 _ ; -: • - - 10/26/2018 (Ea acBcideDtSINGLE.L . .... $ . .... _ . _1,000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $' PROPERTY DAMAGE (Per accident) $ $ —1 UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE _ -_ AGGREGATE $ $ DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A 9123183 01/23/2018 - 01/23/2019 - - -- X PER STATUTE 0TH - ER E.L. EACH ACCIDENT $ 1,000,000 E . DISEASE - EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY I WIT 1,000,000 J 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 CG20260413. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 -6197 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 Donald R. Hardy ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: IPK201800013978 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): 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 corn fete 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; 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 permitted by law; and 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. 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 tho 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. ©Insurance Services Office, Inc., 2012 Page 1 of 1