Loading...
HomeMy WebLinkAboutCOI - Kleinfedler Group, Inc., The - Expires 2023-04-01���.... ® �' CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) 03/31/2022 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 L SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this ,11 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c PRODUCER CONTACT, a) Aon Risk Insurance Services west, NAME: PHON:, t6 Los Angeles CA Offi ce . (NC No.Ext): (866) 283-7122 I-�A/C.No.):.(800) 363 0105 '. y 707 Wilshire Boulevard EMAIL - suite 2600 ADDRESS;. _ Los Angeles CA 90017-0460 USA NAIC # INSURED - The Kleinfelder Group, Inc 770 First Ave. San Diego CA 92101 USA INSURER(S) AFFORDING COVERAGE INSURER Al zurich American ins Co .. 16535 INSURERB: American Guarantee & Liability Ins Co. 26247 INSURER C: Allied World surplus Lines Insurance Co 24319. INSURER D: INSURER E: INSURER F: COVERAGES . CERTIFICATE NUMBER: 570092334383 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 ALLTHE TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, • Limits shown are as requested INSH AUUL utlH - - I'ULIU? tI•I - PULIUY LAP - - LTR TYPE OF INSURANCE . INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)• LIMITS A X I COMMERCIAL GENERAL LIABILITY GLOb12459401 U4/Ui/2UGL 04/Ui/LUGS EACH OCCURRENCE $1,000,000 UAMAGEIU HkNIEU - _$3. 0001000 PREMISES (Ea occurrence) . - MED EXP (Any one person) , .$15 , 000 I I PERSONAL & ADV INJURY $1, 000, 000 I CLAIMS -MADE. Ix OCCUR hGEN'LAGGREGATE LIMIT APPLIES PER: POLICY i X I PRO- JECT I I LOC OTHER: A AUTOMOBILE LIABILITY X ANY AUTO OWNED . = AUTOS ONLY HIRED AUTOS __ ONLY SCHEDULED AUTOS NON -OW NED AUTOS ONLY B. X UMBRELLALIAB X OCCUR EXCESS LIAB CLAIMS -MADE • DEDI JRETENTION - A - WORKERS COMP.ENSATION AND EMPLOYERS' LIABILITY - - ANY PROPRIETOR / PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under - DESCRIPTION OF OPERATIONS below BAP 6124595-01 SXS612.459701 Wc612459601 All States I E,L. EACH ACCIDENT.. •I N/A I El, DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT C Env CPL/Prof - PSDEF2200647 04/01/2022 04/01/2023 Each claim Claims -Made Policy. Aggregate sIR,applies per policy terns & condi':ions - 04/01/2022 04/01/2023I COMBINED SINGLE LIMIT (Ea accident)y_ .° Booty INJURY ( Per person) : I BODILY INJURY (Per accident): PROPERTY DAMAGE (Per accident) I . • 04/01/2022 04/01/2023IEACN OCCURRENCE• IAGGREGATE I . Y/N N 04/01/2022 04/01/2023 X I PERS I r TATUTE - 041 IGENERALAGGREGATE- -$2,000,000 IPRODUCTS- COMP/OPAGG $2,000,000 .$1,000,000 '• ,13,000,,0o0 $3.;000,000 $1`, 000, 000 $1,000,000 O Z cu V $1,000,000 =. $2,000,000 — $2,000,000 wro- DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) - ..-2 - - IF- • Projects as on file with the insured including but not limited to SCVwo - south county Recycled Water Pipeline Phase 1B..city . n of Gilroy, its officers, officials, representatives, agents, employees and volunteers are included as Additional' Insured in . accordance with the policy provisions of. the General Liability and Automobile Liability policies. See Attached for. complete --. almA List of Named Insureds nr..-, �_ r CERTIFICATE HOLDER CANCELLATION 61,--, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE .THEREOF, NOTICE WILL BE DELIVERED_ IN ACCORDANCE WITH THE .�_ i POLICY PROVISIONS. City of Gilroy - 7351 Rosanna street - Gilroy 'CA-95020-0421 USA AUTHORIZED REPRESENTATIVE ° n/I -- -. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD - AGENCY CUSTOMER ID: 570000071365 LOC #: AGENCY Aon Risk Insurance Services West, Inc. POLICY NUMBER See Certificate Number.: 570092334383 CARRIER see Certificate Number: 570092334383 NAIC CODE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance NAMED INSUREDSCHEDULE ADDITIONAL REMARKS SCHEDULE NAMED INSURED Kleinfelder, Inc. The Kleinfelder Group, Inc. Kleinfelder Holdings, LLC Kleinfelder Parent, Inc ' Kleinfelder Architecture Northeast, Inc. • Kleinfelder Australia Pty Ltd' Kleinfelder:canada, Inc, Kleinfelder Colorado 100, LLc. Kleinfelder Construction services, Inc Kleinfelder Engineering and. Geology, P.C. Kleinfelder Guam. 101, LLC Kleinfelder International, Inc Kleinfelder Kansas 100, LLC Kleinfelder New Mexico 100, LLC Kleinfelder Northeast, Inc. Kleinfelder Oklahoma 100, LLC Kleinfelder:PNG Ltd. Kleinfelder Southeast,Inc. Kleinfelder Texas 100, LLC Kleinfelder Texas 200, LLC Kleinfelder Utah 100, LLC A-1, :Inc.- Kleinfelder East, inc. Buys & Associates, Inc. - TKG Corrigan consulting, Inc.- TKG insite Environmental, Inc.- Kleinfelder. West, Inc. Kowalski EngineeringtInc;- Kleinfelder central, Inc. MiCE.Group, Inc,- Kleinfelder, Inc. Omni Environmental, ,LLC- Kleinfelder East, Inc. Spectrum Exploration, Inc.-TKG The Wallace Group,.Inc. - Kleinfelder West, Inc. TKG Acquisition Corp..• Trigon Environmental) Services, Inc. Simon Wong Er ineering, Inc; Advantage Engineering,; LLC - Kleinfelder,, Inc. Garcia & Associates - Kleinfelder., Inc. PogOemeyer Design Group, Inc Design Engineers & Consulting Associates, Inc. (DECA) industrial Fluid Management, Inc. - CM Works, Inc. Gas Transmission Systems, Inc. GTS Engineering & Consulting, LLP century Engineering, LLC -. ACORD 101 (2008/01) The ACORD name•and logo are The Kleinfelder Group, Inc EFFECTIVE: DATE:, Page _ of _ © 2008 ACORD CORPORATION. All rights reserved. eglstered marks of ACORD Additional Insured — Automatic — Owners, Lessees Or Contractors ZU RICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No, GLO 6124594-01 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part. Effective Date: 04/01/2022 A. Section II —Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to:add es 'an additional insured undera written contract or written agreement executed by you,: but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury "property damage" or "personal and advertising injury" arises out of: (1)- Your ongoing operations, with respect to Paragraph 1:a. above; or: (2) "Your work", with respect to Paragraph 1.b, above, which is the subject of the written contract or written agreement, However, solely with, respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if: the "bodily injury", "property damage" or "personal and advertising injury offense occurs during the policy period and subsequent to your" execution of the written contract or written agreement; and (b) Does notapply to "bodily injury" or "property damage" caused by "your work" and included Within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured: 2. If such written contraot or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect tosuch endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-GL-2162-A CW (02/19) Page 1 of 4 in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products -completed operations hazard", With respect to Paragraph 2.b, above, which is the subject of the written contract or written agreement.: However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury".. offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily; injury" or "property damage" caused by "your work" and included Within the "products -completed operations hazard" unless the. written contract orwritten agreement specifically requires that you provide such coverage: to such additional insured. If neither Paragraph 1. nor Paragraph 2.iabove apply andsuch written contract or written agreement requires that you provide that the person or organization be named asan additional insured: a. ' Under the ISO CG 20 10 (04/13 edition, any subsequent editionor ifno edition date is specified); or b. With respect to ongoing operations (if no form is specified), :such person: or organization is then an additional insured only to the extent that "bodily injury", "property damage or"personal and advertising injury" is caused, in whole or In part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, - in the performance of your ongoing operations; which is the subject of the written contract or written agreement.. However, solely with respect to this Paragraph 3., insurance afforded tosuch additional insured: (a) ``Only: applies to the extent permitted by law; (b) Willnet -be broader than that which you are 'required by the written contract or'written agreement to' provide for such additional insured; and (c) Only: applies if the "bodily injury", "property damage" or "personal and :advertising .injury" offense occurs during the policy period andsubsequent.. to your execution of the written contract or written agreement.. . If neither Paragraph:1. nor Paragraph 2. above apply andsuch written contract or written agreement requires that you provide that the person or organization be named as an additional insured: Under the ISO CG-20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or. b. With respect to the "products -completed operations hazard" (if no form is specified), such personor organization is then an additional insured only :to :the extent that"bodily injury" or "property damage" is caused, inwhole or in part by "your work" and included in the "products -completed operations hazard", which is the subject of the written contract or written agreement.;; However, "solely with respect to this Paragraph 4., insurance afforded to such additional insured:_ (1) Only -applies to the extent permitted by law; (2) Will ::not be broader than that whichyou ,pre required by `the written contract or written agreement to provide for such additional insured; 3):Only, applies if the;"bodily._injury" or "property damage" occi.Irsduring the policy period and subsequent -to: • your execution of the written contract or written agreement,, and ':.Includes copyrighted material .cif Insurance S.erv.ices office, Inc.; with Its permission, U-GL-21Fi2 A.GW (02/19) Page2of4 (4) Does not apply to "bodily i "property damage" caused by "Your work" and included within the "prod uots-ummp|abad operations hazard", unless the written contract or written agreement specifically requires that you provide such coverage tosuch additional insured. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This 'insurance does not apply to "bodily ' "property damage"Or"pemaono|and advertising injury" arising but of the rendering of, o[failure bVrender, any professional architectural, engineering or,surveying services including: 1preparing,i failing to o h drawings, opinions, / ' . iOg nl8�� shop ravvnga' ��O no.r�pode'�nVP/eys. field orders, change orders urdrawings and specifications; or ' 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence other wrongdoing in. the supervision, hiring, employment, training ngofuthx*rs by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense whichcaused the "personal and advertising injury", involved the rendering oforthe failure torender any professionalarchitectural, engineering orsurveying services. ' C. Solely with respect to the coverage provided by eOdu�rn*Oont' the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim (Jr Suit of8eot�n PV— Commercial General Liability Conditions: ' _ The additional insured must see to it that:. M\ VVeare notified aesoon aapracticable 0f8n"ocoVrranoe'oroffense that may result iOaclaim; OU We receive written notice of claim or "suit" as soon as practicable; and ' (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued bvanother insuPerUOderwhich the 8dd `innUred may be an insured inany capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the vvhMBn contract or written ' agreement requires that this coverage beprimary and non'contr|bUtory. ' D. Solely with respect to the coverage provided by this endorenlent 1. The h��win` g k� added to the Other |nmunmn�� Condition on ' of Section PK — Commercial General Liabillity ' Conditions: ^ ` Primary and Noncontributory insurance � This insuranceisphmaryh)andwiU_notSeekcUntribuMonfro0aOyoUh8[|nourancanVGilablehuanodditiona| insured provided that: � m. The additional insured ]uoNamed Insured under Such other insurance; and ' h. You are required by written thks' UnyOo9 be primary and notseek contribution from any other insurance available tothe additional insured, ' 2. The following paragraph is added to. Paragraph 4^h. ofthe Other Insurance Condition under Section PV— `'Commercial General Liability Conditions: ` ' This insurance isexcess over: ` Any of the other insurance, whether primary,s, contingent or on any other b8ois, available to an additional |OeunaU'inwhich the add�n additional insured on |m0covered ooanadd|Mona| insured on �@n��rp0Ucy pR�v�ing coverage for aarno "�uou�anm�', of#�nae.o|�inn or This provision does not ' apply to any policy -in which the additional -insured is a|NgOvad Insured on such otherpolicy and whor8our �policy karequired bvawritten. contract orwritten agreement toprovide coverage to the additional insured Oh6 . � primary and non-contributory basis, E. This endorsement does not apply to an additional insured which has beer) added to this Coverage Part by' an endorsement showing the additional insured in e Schedule ufadditional insureds, and which endorsement applispecifically to that identified additional insured, es * Includes copyrighted material o[Insurance Services Office, |mc.with its permission, &GL2162-AQW (02/19) Page Jnf4 | P. Solely with respect tothe insurance affordedto anadditional insured Linder Paragraph A.3.orParagraph A.4.ofthis endorsement, the following iaadded toSection III - Limits OYInsurance: .Additional Insured -/\utommt|c-Owners, Lessees Or Contractors Limit The most w8will pay onbehalf ofthe additional i.ounediotheamountofinsunonoe: 1. Required bvthe written contract orwritten agreement referenced iD Section A.ofthis endorsement; or ' 2. Available under the applicable Limits -of Insurance shown in the Declarations, wh|`heveria|eSa. ` ' Th�ondornanlondahaUap plicable All other henme.coOd�OOa. neand exoue�neofthis md' rnmaiOtle�een�e. ` 'U_GU-2i N2�S - ' ' ^ � Page �m'� Includes copyrighted material of Insurance 8ewicee.Offioo.|nc,w�bpe rmission, _ `