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COI - EMC Planning Group, Inc. - Expires 2020-12-01
ACaRIJ CERTIFICATE OF LIABILITY INSURANCE DA yo> D eYY) 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 POUCIES 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 poiicy(les) 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 Carmel Insurance Agency ' San Carlos 2 NW of 8th P.O. Box 6117 Carmel CA 93921-6117 COONNEACT Monique Thanos, CIC PHONE Exl): (831) 624-1234 I fA1C.AX Not: (831) 624-4605 � ILO. AoaRFSS: monlquet@carmelinsurance.com INSURERS) AFFORDING COVERAGE NAIC q INSURER A: Admiral Insurance Company INSURED EMC Planning Group, Inc. 301 Lighthouse Avenue Suite C Monterey CA 93940 INSURER B : Nationwide Mutual 23787 INSURER C • Republic Indemnity 9999 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: GL/Prof, Auto, WC, Exc REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NAMED ABOVE FOR THE POUCY PERIQD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS. IN.TR I TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF (MM1DD/YYYY) POLICY EXP (MIWDDIYYYY) LIMITS A _• X COMMERCIAL GENERAL UACIUTY FEIE•CC2432502 12/01/2019 12101/2020 EACH OCCURRENCE S 2,000,000 CLAIMS -MADE fir OCCUR DSO PREMISES (Ea ecoDAMAGE TO ReN iarence) $ 000 X $10,000 DeductiblelOccurrence MED EXP (Any one parson) $ 5,000 - PERSONAL & ADV INJURY 1 S 2.000.000 GEh X LAGGREGATE POLICY OTHER: UNIT APPLIES PERO. PER: LOC GENERAL AGGREGATE S 4,000,000 PRODUCTS • COMP/OPAGG $ 4,000,000 S B AUTOMOBILE X - _. UABIUTY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY • ACP3088546333 12101/2019 12/01/2020 COMBINED SINGLE LIMIT (Ea accident) s 1,000,000. BODILY INJURY (Per person) $ BODILY INJURY (Peraccident) S ., PROPERTY DAMAGE (Per accident) $ Medical payments s 5,000 A X UMBRELLA LIAB EXCESS MB X / OCCUR CLAIMS -MADE FEIEXS2432602 ' 12/01/2019 12/01/2020 EACH OCCURRENCE s 2.0a0,000 AGGREGATE $ 2.000,000 oEo I I RETENTIONS S . C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYN ANY PROPRIETORIPARTNERIF�CECUTIVE Y� OFFICER/MEMBER EXCLUDED?1,000,000 (Mandatary In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 18205510 12/01/2019 12/01/2020 , •EL i XI PPSE�ATUTE I I FOR . E.L. EACH ACCIDENT . S 1,00a,000 EL. DISEASE - EA EMPLOYEE $ DISEASE - POLICY LIMIT S 1,000.000 A Professional Retroactive Claims Made Retroactive Date 8/22102 • FEIECC2432502 12/01/2019 12/01/2020 Each Wrongful Act/Claim General Aggregate Limit Deductible/Wrongful Act $2,000,000 $2,000,000 $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) RE: Uvas Creek Dutfali Alternate Mitigation Project, Subject to a Signed, Written Agreement: Certificate Holder Is named as Additional Insured under the General Liability per attached endorsement CG2010 1001 and under the Auto Liability per attached endorsement CA2048 1013. 10 Days Notice of Cancellation for Non -Payment of Premium. • CERTIFICATE HOLDER CANCELLATION The City of Gilroy, its officers, officials & employees 7351 Rosanna Street Gilroy CA 85020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EMC Planning Group, Inc. Endorsement Number: 33 Additional Insured — Owners, Lessees or Contractors — Scheduled Person or Organization This endorsement, effective 12/1/2019 attaches to and forms a part of Policy Number FE.t ECC-24325-02. This endorsement changes the Policy. Please read it carefully. In consideration of an additional premium of $Applied, this endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name and Address of Person or Organization: The City of Gilroyits officers, officials and employees 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) A. Section II — Who is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury" or `property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 10 01 © ISO Properties, Inc., 2000 888 m I 88 it kg 1 a C 0 g r Tru Vs 11011 8