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HomeMy WebLinkAboutGaravaglia Architecture - Insurance Certificate (2020)A ® I DATE (MM/DD/YYWj CERTIFICATE OF LIABILITY INSURANCE 9/6/2019 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 I NAME: PAHONN . Ext): (888) 780-5381 ac, Net: (866) 828-2424 WILLIS OF ILLINOIS, INC. I ADDRESS: Certificate@Hanover.com 233 S WACKER DR,SUITE 2000 I INSURER(S) AFFORDING COVERAGE NAIC # CHICAGO IL 60606 INSURER A: Citizens Ins Co of America 31534 INSURED INSURER B: Hanover Insurance Cc 22292 INSURER C : Hanover American Ins Co 36064 GARAVAGLIA ARCHITECTURE INC I INSURER D : 582 MARKET ST STE 1800 I INSURER E : SAN FRANCISCO CA 94104 I 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 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 AN ID W D POLICY NUMBER SUBR POLICY EFF POLICY EXP LIMITS (MMIDD/YYYY) (MM/DD/YYYY) ✓ COMMERCIAL GENERAL LIABILITY = CLAIMS -MADE Fv--'I OCCUR A Y N GEN'L AGGREGATE LIMIT APPLIES PER: � PRO F POLICY JECT LOG OTHER: AUTOMOBILE LIABILITY ANY AUTO A OWNED SCHEDULED Y N AUTOS ONLY AUTOS / HIRED / V NON -OWNED AUTOS ONLY AUTOS ONLY V UMBRELLA LIAB OCCUR A EXCESS LIAB CLAIMS -MADE Y N DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N C OFFICER MEMBEREXCLUDED7ECUTIVE FNJ N/A N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 OBC D353190 02 09/30/2019 09/30/2020 I PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ OBC D353190 02 09/30/2019 09/30/2020 I BODILY INJURY (Per accident) $ - PROPERTY DAMAGE $ (Per accident) $ EACH OCCURRENCE $ 3,000,000 OBC D353190 02 09/30/2019 09/30/2020 I AGGREGATE $ 3,000,000 STATUTE EERH WZC D353182 02 09/30/2019 09/30/2020 E.L. EACH ACCIDENT I $ 1,000,000 E.L. DISEASE - EAEMPLOYEEI $ 1,000,000 E.L. DISEASE -POLICY LIMIT I $ 1,000,000 B Architects & Engineers Prof Liab N N LHC D714496 01 09/30/2019 09/30/2020 I Claims -Made: $1 M Ea Claim/$2M Agg DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Gilroy, its officers and employees are Additional Insured on the General Liability pursuant to the terms and conditions by form 391-1586. Waiver of Subrogation as provided by form 391-1586. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THE CITY OF GILROY AUTHORIZED REPRESENTATIVE 7351 ROSANA ST GILROY GILROY CA 95020 I @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY SUPPLEMENTARY ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM A. Additional Insured by Contract, Agreement or injury and advertising injury". Permit (2) To any person or organization included The following is added to SECTION II - as an insured by another endorsement issued by us and made part of this LIABILITY, C. Who Is An Insured: Coverage Part. Additional Insured by Contract, Agreement or (3) To any lessor of equipment: Permit a. Any person or organization with whom you (a) After the equipment lease expires; agreed in a written contract, written or agreement or permit that such person or (b) If the "bodily injury", "property organization to add as an additional insured damage", or "personal and on your policy is an additional insured only advertising injury" arises out of sole with respect to liability for "bodily injury", negligence of the lessor "property damage", or "personal and (4) To any: advertising injury caused, in whole or in part, by your acts or omissions, or the acts (a) Owners or other interests from or omissions of those acting on your behalf, whom land has been leased if the "occurrence" but only with respect to: or offense takes lace after or the offense is committed (1) "Your work" for the additional insured(s) the lease for the land expires; or designated in the contract, agreement or permit including "bodily injury" or (b) Managers or lessors of premises if: "property damage" included In the I The takes I (i) place or "products -completed operations hazard" the offense is committed after only if this Coverage Part provides such you cease to be a tenant in that coverage. premises; or (2) Premises you own, rent, lease or occupy; (ii) The "bodily injury", "property or damage", "personal Injury" or (3) Your maintenance, operation or use of "advertising injury" arises out of equipment leased to you. structural alterations, new construction or demolition b. The insurance afforded to such additional operations performed by or on insured described above: behalf of the manager or lessor. (1) Only applies to the extent permitted by (5) To "bodily injury", "property damage" or law; and "personaland advertising injury"arising (2) Will not be broader than the insurance out of the rendering of or the failure to which you are required by thecontract, render any professional services. agreement or permit to provide for such This exclusion applies even if the claims additional insured. against any insured allege negligence (3) Applies on a primary basis if that is or other wrongdoing in the supervision, required bythe written contract, written hiring, employment, training or agreement or permit. monitoring of others by that insured, if (4) Will not be broader than coverage the "occurrence" which caused the "bodily injury" or "property damage" or provided to any other insured. the offense which caused the "personal (5) Does not apply if the "bodily injury", and advertising injury" involved the "property damage" or "personal and rendering of or failure to render any advertising injury" is otherwise professional services by or for you. excluded from coverage under this d. With respect to the insurance afforded to Coverage Part, including any these additional insureds, the following is endorsements thereto. added to SECTION II - LIABILITY, D. Liability c. This provision does not apply: and Medical Expense Limits of Insurance: (1) Unless the written contract or written The most we will pay on behalf of the agreement was executed or permit was additional insured for a covered claim is the issued prior to the "bodily injury", lesser of the amount of insurance: "property damage", or "personal 391-1586 08 16 Includes copyrighted material of Insurance Services Offices, Inc., with its permission. Page 1 of 2 1. Required by the contract, agreement or permit described in Paragraph a.; or 2. Available under the applicable Limits of Insurance shown in the Declarations. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations B. Aggregate Limits of Insurance per Project or per Location The following changes are made to SECTION II - LIABILITY: 1. The following is added to SECTION II - LIABILITY, D. Liability and Medical Expenses Limits of Insurance, paragraph 4: The Aggregate Limits of Insurance apply separately to each of "your projects" or each "location" listed in the Declarations. 2. For the purpose of coverage provided by this endorsement only, the following is Hanover Insurance Group. OBC D353190 1309570 added to SECTION I I -LIABILITY, F. Liability And Medical Expenses Definitions: 1. "Your project" means: a. Any premises, site or "location" at, on, or in which "your work" is not yet completed; and b. Does not include any "location" listed in the Declarations. 2. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. 391-1586 08 16 Includes copyrighted material of Insurance Services Offices, Inc., with its permission. Page 2 of 2