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HomeMy WebLinkAboutCOI - A. Munoz Landscape Construction - Expires 2023-08-23~ J!R~!!!~.· :-1,•.;_J!: Cl CW A02.1011 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to 1he provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder: THE CITY OF GILROY AND ITS MAYOR AND CITY COUNCIL, AGENTS, OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY, CA USA 950206141 Insurer Name: Allstate Insurance Company Polic, Number: 64 8 7 9 52 6 6 Named Insured: A. MUNOZ LANDSCAPE CONSTRUCTION INC. 1540 SAN PEDRO AVE MORGAN HILL CA 95037-9651 Automobile Uabilitv X 1 --Any Auto 2 -Owned Autos Only 3 -Owned Priv. Pass. Autos Only 4 --Owned Autos Other Than Priv. 5 -Owned Autos Subject to 6 -Owned Autos Subject to a Compulsory UM Law Pass. Autos Only No Fault 7 --Soecificallv Described Autos 8 -Hired Autos Onlv 9 -Nonowned Autos Only Policy Effective Date : 08-23-2022 I Policy Expiration Date: o 8 -2 3 -2 o 2 3 Limits of $2,000,000 Combined Single Limit (each accident) Insurance: Bl Per Person Bl Per Accident I PD Per Accident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions Interested PartyTvoe: Additional Insured -All Other THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer: FULLER-AGUILERA INS Authorized Representative: Date: 06-14-22 Includes copyrighted material of Insurance Services Office, Inc., with its permission BU114-3 Cl cw A021011 Allstate Insurance Company Page 1 of 1 Additional Insured Copy ~ )!!t!!!!!:: Cl CW A021011 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisi,ons of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder: THE CITY OF GILROY AND ITS MAYOR AND CITY COUNCIL, AGENTS, OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY, CA USA 950206141 Insurer Name: Allstate Insurance Company Polic 1 Number: 648795266 Named Insured: A. MUNOZ LANDSCAPE CONSTRUCTION INC. 1540 SAN PEDRO AVE MORGAN HILL CA 95037-9651 Automobile Liabilitv X 1 --Any Auto 2 -Owned Autos Only 3 -Owned Priv. Pass. Autos Only 4 --Owned Autos Other Than Priv. 5 -Owned Autos Subject to 6-Owned Autos Subject to a Compulsory UM Law Pass. Autos Only No Fault 7 --Specifically Described Autos 8 -Hired Autos Only 9 -Nonowned Autos Only Policy Effective Date : 08-23-2022 I Policy Expiration Date: o 8 -2 3 -2 o 2 3 Umitsof $2,000,000 Combined Single Limit (each accident) Insurance: Bl Per Person Bl Per Accident I PD Per Accident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions lnterestedPartyType: Additional Insured -All Other THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer: FULLER-AGUILERA INS Authorized Representative: Date: 06-14 22 Includes copyrighted material of Insurance Services Office, Inc., with its permission BU114-3 Cl cw A021011 Allstate Insurance Company Page 1 of 1 Additional Insured Copy ~'!I!!~!!· ~ ~ BU114-3 POLICY NUMBER: 648795266 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: A. MUNOZ LANDSCAPE CONSTRUCTION Endorsement Effective Da1e: 08-23-2022 SCHEDULE Name Of Person(s) Or Organization(s): THE CITY OF GILROY A..~D ITS MAYOR AND CITY COUNCIL, AGENTS, OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY, CA USA 950206141 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I -Covered Autos Coverages of the Auto Dealers Coverage Form. CA20481013 © Insurance Services Office, Inc., 2011 Additional Insured Copy Page 1 of 1 ~~!'.!!!!!: BU114-3 COMMERCIAL AUTO AACW230914 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL V. PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT Coverage provided under this policy is modified by the attachment of this endorsement If there is any conflict in coverage provisions between this form and any state specific endorsement also attached to this policy, the provision(s) of the state specific form shall apply. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Endorsement Effective: 0 8 -2 3 -2 0 2 2 Named Insured: A. MUNOZ LANDSCAPE CONSTRUCTION SCHEDULE Name of Person(s) or Organization(s): THE CITY OF GILROY AND ITS MAYOR AND CITY COUNCIL, AGENTS, OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY, CA USA 950206141 Countersigned By: (Authorized Representative) If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement. SECTION IV -BUSINESS AUTO CONDITIONS,B.General Conditions, 5. Other Insurance is modified by this endorsement, only as it applies to any coverage provided to the person or organization designated in the schedule of this endorsement and only to the extent that such person or organization qualifies as an "insured" under this policy. If the named insured has entered into an agreement with the person or organization designated in the Schedule of this endorsement, which requires that the insurance available to them under this policy be applied on a primary and non-contributory basis, the following provision applies: Any coverage provided under this policy to the person or organization designated in the Schedule of this endorsement is primary, and we will not seek contribution from any other Automobile Liability insurance otherwise available to the designated person or organization. Includes copyrighted material of Insurance Services Office, Inc., with its permission AACW23 0914 Allstate Insurance Company Page 1 of 1 Additional Insured Copy ~ Allstate. You're in good hands. ···~'?: '." BU114-3 POLICY NUMBER: 648795266 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person{s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who ls An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another elate is indicated below. Named Insured: A. MUNOZ LANDSCAPE CONSTRUCTION Endorsement Effective Date: 08-23-2022 SCHEDULE Name Of Person(s) Or Organization(s): THE CITY OF GILROY AND ITS MAYOR AND CITY COUNCIL, AGENTS, OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY, CA USA 950206141 Information required to complete this Schedulejf_not shown c1_bov~ will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I -Covered Autos Coverages of the Auto Dealers Coverage Form. CA20481013 © Insurance Services Office, Inc., 2011 Additional Insured Copy Page 1 of 1