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