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HomeMy WebLinkAboutCOI - Competitive Construction Inc - Expires 2023-10-12ACORO® CERTIFICATE OF LIABILITY INSURANCE `� DATE,MMIDDrY Y, 10/18/2022 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(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 CONTACT Cindy Hullender CISR NAME: James G. Parker Insurance PHONE (559) 222-7722 FA (559) 222-1724 IC No Est: AIC No License #0554959 E-MAIL clhullenderftparker.com ADDRESS: P O BOX 3947 INSURERS AFFORDING COVERAGE NAIL$ Fresno CA 93650 INSURERA: Kinsale Ins Co 38920 INSURED INSURER B: Infinity Select Insurance Co 20260 Competitive Construction Inc INSURER C: Century Surety Company 36951 9251 Mahogany Court INSURER D : NSURER E: Gilroy CA 95020 1 INSURERF: COVERAGES CERTIFICATE NUMBER: 22-23GLBAUMB 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 AUDLSUBR 1=WvDPOLICY NUMBER POLICY EF MMIDDIYYYY POLICY EXP MMIDD/YYYY UNITS X COMMERCIALGENERALUABIUTY CIAIMSMADE ® OCCUR EACH OCCURRENCE $ 1,000.000 MI PRESES Ea ocuarence 5 100,000 MEO EXP (My one person) $ excluded PERSONAL$ ADV INJURY S 1,000,000 A 01001294202 10/12/2022 10/12/2023 GEN'LAGGREGATE UMITAPPLIES PER: POLICY JECT LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OP ADS $ 2,000,000 S OTHER: AUTOMOBILE UASIUTY COMBINED SINGLE LIMIT Ea auiEen! $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO B OWNED SCHEDULED AUTOSONLY AUTOS 504610145755001 10/12/2022 10/12/2023 BODILY INJURY (Per socklenu $ HIRED NON -OWNED AUTOSONLY AUTOSONLY PROPERTY DAMAGE Per arn'tlent $ Medical payments $ 5,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ 2.000,000 X AGGREGATE $ 2,000,000 C EXCESS LIAR CLAIMSMADE CCP1092593 10/12/2022 10/12/2023 OED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNERIFXECUTIVE El OFFICERMEMBER EXCLUDED? PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mantlalory In NH) under E.L. DISEASE - POLICY OMIT $ DESCRRIPTION OF OPERATIONS helmv DESCRIPTION DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD tat, Additional Remarks Schedule, maybe attached If more space Is mqulmd) Certificate Holder is included as Additional Insured as required by written contract performs CG2010 1219 AI, CG2037 1219 Completed Ops attached. G lcC� LOMCRD OCT 2 0 2022 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gllmy ACCORDANCE WITH THE POLICY PROVISIONS, 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 111A >��N ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100129420-2 10/12/202212:01AM at the Named insured Competitive Construction Inc address shown on the Declarations Additional Premium: Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) Location(s) of Covered Operations Blanket, as required by written contract, executed prior to the start of work on the project. Locations as required and specified by written contract, executed prior to the start of work on the project. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", " This insurance does not apply to "bodily injury" or property damage" or "personal and advertising property damage" occurring after: injury" caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations on behalf of the additional insured(s) at the for the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted other than another contractor or by law; and subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the is required by a contract or agreement, the same project. insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall applicable limits of insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. not increase the CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100129420-2 10/12/2022 12:01AM at the Named Insured Competitive Construction Inc address shown on the Declarations Additional Premium: Return Premium: $0 T $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) Location and Description of Completed Operations Blanket, as required by written contract, executed prior to the start of work on the project. Locations as required and specified by written contract, executed prior to the start of work on the project. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by 'Your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the by law; and applicable limits of insurance. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1