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HomeMy WebLinkAboutBlair, Church & Flynn - Insurance Certificate (2019)ACRD® CERTIFICATE OF LIABILITY INSURANCE `,...-- " . DATE (MM / °D/YYYY) 10/3/2018 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 Dealey, Renton &.Associates Attn: Jr .Lusk -- P. O.- Box 12675 - - -• Oakland CA 94604'2675 CONTACT NAME: Doris A Chambers PHONE ' FAX (A/C. No. Extl: 510- 465 -3090 - (A/C, No): 510 - 452 -2193 • • ADDRESS: dchambers @dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Travelers Property Casualty Co of Ameri 25674 INSURED BLAIRCHUR Blair, Church & Flynn Consulting Engineers, Inc. 451 Clovis Avenue, Suite 200 Clovis CA 93612 INSURER B : Travelers Indemnity Co. of Connecticut 25682 INSURER c : Berkley Insurance Company 32603 INSURER D : EACH OCCURRENCE INSURER E : DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F : COVERAGES CERTIFICATE NUMBER: 793599289 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR W VD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A A - X COMMERCIAL GENERAL LIABILITY Y Y 6809K848657 - CA 6803L37068A - NV - 10/2/2018 10/2/2018 10/2/2019 10/2/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 • _ GE r PERSONAL & ADV INJURY $ 1,000,000 'L AGGREGATE POLICY - OTHER • X LIMIT APPLIES PECOT- PER. LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 - $ •B ; ` ::.X •AUTOMOBILE . X LIABILITY - „ ANY AUTO OWNED, - AUTOS ONLY HIRED • AUTOS ONLY X' - SCHEDULED AUTOS NON -OWNED AUTOS ONLY Y Y BA9K850653 - 10/2/2018 . 10/2/2019 - COMBINED SINGLE LIMIT (Ea accident) - $ 1,000,000 . BODILY INJURY (Per person) $ BODILY INJURY (Per accident) . - PROPERTY DAMAGE (Per accident) $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y Y • CUP9K858442 10/2/2018 10/2/2019 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A Y; UB6J648936 10/2/2018 10/2/2019 X PER STATUTE 0TH - ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1,000,000 C Professional - Liability Claims Made Y AEC902320102 10/2/2018 10/2/2019 $2,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: First Street Sewer Rehabilitation The City of Gilroy, its officers and employees are named as additional insureds with respects to General Liability, per policy form wording. Insurance is primary and non - contributory. Waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION 30 Day NOC /10 Day for NonPav of Prem i City of Gilroy 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. AUTHOR! D REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD