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HomeMy WebLinkAboutCOI - Intelligent Technologies & Services, Inc. - Expires 2023-09-30AC RO o® CERTIFICATE OF LIABILITY INSURANCE DA09/29/2022 s/3o/zoz3 09I29I2022 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 endomement(s). Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 kctsu@lockton.com INSURER A: 15URED INTELLIGENT TECHNOLOGIES& 199 SERVICES, INC. 1031 SERPENTINE LANE, SUITE 101 PLEASANTON CA 94566 COVERAGES + CERTIFICATE NUMBER: 11267552 REVISION NUMBER: XXXXXXX 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 A NS AND CONDITIONSF SUCH POLICIES, LIMITS SHOIAN MAY HAVE D C IM INSR LTR TYPE OF INSURANCE ADDL INSR UG WVO POLICY NUMBER POLICY EFF MMIDDIYYYYI POLICY EXP (MMDDIYYYYI LIMITS B X COMMERCMI-GENERALUNBILMY CLAIMS -MADE OCCUR $100,000 DED Y N VM P004743 09/30/202 09/30/202 EACHOCCURRENCE S 1000000 $ 100,000 X MED EXP An one emon S 10,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' POLICY PRO- JECT ❑ LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -CONFIDE AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 500 COMP I X $1.000 COLL N N 1 810-5387B882-22-14 1 09/30/202 09/30/202 EaeBINEDSINGLE LIMIT $ 1000000 X BODILY INJURY (Per Person) $ XXXXXXX BODILY INJURY (Per aodtlent) S XXXXXXX gIDPERTY AMAGE rgeramOent $ XXXXXXX X $ XXXXXXX UMBRELLA LIAB EXCESS LIA13 CCUR RLAIMSMADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICERPRIE ERIPAR NERPE ECmNEFE eaemdamq In NH) HYaaft%mtoe x DESCNPTION OF OPEHAnON$lekw NIA N UB-8K759731-22-14-G 09/30/202 09/30/202 �( E.L EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE S 1000000 E.L.OISEASE-POLICY LIMIT S 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace is required) RE: CITY OF GILROY (POLICE DEPARTMENT); AGREE #1034. CITY OF GILROY (POLICE DEPARTMENT) IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. CERTIFICATE HOLDER CANCELLATION See Attachment M(TKNO IMD V SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 0 C T 19 2022 ACCORDANCE WITH THE POLICY PROVISIONS. 11267552 AUTHORIZED REPRESENTATIVE CITY OF GILROY GILROY CITY CLERK'S OFFICE 7301 HANNA STREET GILROY CA 95020 n IC7 07 ACORD 25 (2016103) @ 1988-2016 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Miscellaneous Attachment: M4948 Certificate ID: 11267552 Policy Number: VMGP004743 Insured Name: Fke Corporation Number: 64 CG20 10 12 19 Effective Date: 09/30/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION 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 y person or organization when you have agreed in a All locations for which you have agreed in a written written and executed contract, prior to an "occurrence", that and executed contract prior to an "occurrence." such person or organization be added as an additional nsured on your policy. 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', "property damage" or "personal and advertising injury' 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 for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply. 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 location 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 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 Miscellaneous Attachment: M4948 Certificate ID: 11267552 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 not increase the applicable limits of insurance. All other terms and conditions of this Policy remain unchanged. Al other terms and conditions of this Policy remain unchanged. CG 20 10 12 19 ©insurance Services Office, Inc., 2018 Page 2 of 2 Miscellaneous Attachment: M4948 Certificate ID: 11267552 Policy Number: VMGP004743 Insured Name: Fike Corporation Number: 81 CG 20 3712 19 Effective Date: 09/30/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS 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 Any person or organization when you have agreed in a All locations and completed operations for which tten and executed contract, prior to an "occurrence", you have agreed in a written and executed that such person or organization be added as an contract prior to an "occurrence." additional insured on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 1. 4 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. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. All other terms and conditions of this Policy remain unchanged. 00 T N ci C U HE 0 N N U N N LO U) co c V T N � o ca U U U 00 d� rn T � r E ti co U N Q (� �n U ACORO® CERTIFICATE OF LIABILITY INSURANCE s/3o/2023 °AY) 09/29/29/2022022 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 Lockton Companies CONTACT PHONE 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 E-MAIL (816) 960-9000 kctsu@IDckton.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Travelers Properly Casualty Cc ofAmedw 25674 INSURED INTELLIGENT TECHNOLOGIES & INSURERB: Gemini Insurance Company 10833 tl RERC: 199 SERVICES, INC. 1031 SERPENTINE LANE, SUITE 101 PLEASANTON CA 94566 - 045URER D: INSURER E: INSURER F : COVERAGES + CERTIFICATE NUMBER: 11267552 REVISION NUMBER: XXXXXXX 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 COIN DI IONS OF SUCH POLICIES . LIMITS SH MAY HAVE N REDU ED BY PAID CLAIM INSR LTR TYPE OF INSURANCE ADOLSUS INSD WVD POLICY NUMBER POLICY OFF MMIDDIYYYYJ POLICY EXP MMIODIYYYY LIMITS B X COMMERCIAL GENERALLIABILITY CLAIMS -MADE OCCUR $100,000 DED Y N VM P004743 09/3012022 0913012022 EACH OCCURRENCE S 1 QpQ Qp0 $ 100,000 X MED EXP An one person) S 10,000 GEN'L PERSONAL &ADV INJURY S 1000000 AGGREGATE LIMIT APPLIES PER: POLICYFX_1JE� ❑LOC OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OP ASS $2000000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED CULED NON_OWNED AUTOS ONLYAUTOS ONLY 500 COMP $1.000 COLL N N 810-5387B882-22-14 09/30/202 09/30/2022 Ee accident) SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) S XXXXXXX BODILY INJURY(Per acccent) $AUTOSONLYqSAITHOEIDHIRED P OPERTY AMAGE eraccidenl s XXXXX) x X $ XXXXXXX UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE s XXXXXXX AGGREGATE s XXXXXXX DED I I RETENTION S $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIEfORIPARTNEPo ECUTIVE ❑ OFFICE2MEMSER EXCLUDED? N (Mandatory In NH) If yes dMmbe under DESCRIPTION OF OPERATIONS NIA N UB-SK759731-22-14-G 09/30/202 09/30/202 I X E.L EACH ACCIDENT $ 1000000 JE.L. DISEASE - EA EMPLOYEE S 1,000,000 JE.L. DISEASE -POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: CITY OF GILROY (POLICE DEPARTMENT); AGREE #1034. CITY OF GILROY (POLICE DEPARTMENT) IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. CERTIFICATE HOLDER CANCELLATION See Attachment r)FR9LS 20%r'LLS� 10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I r�� �V/ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11267552 OCT 19 "J22 AUTHORIZED REPRESENTATNE CITY OF GILROY 7301 HANNA STREET GILROY CA 95020 GILROY CITE CLERK'S OUNCE !F7 ";0;w T ACORD 25 (2016/03) @ 1988.2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD P526 28N2 McSherry & Hudson, An Alera Group Company 1901 S. Bascom Avenue Suite 1190 Campbell, CA 95008 Electronic Service Requested MIXED AADC 950 4753 3.3477 MB 0.512 Irll�llrl�'�'��IIII�'I�rrIIII�I�����II��II�III��i11'I�'I'1'�I'III Cityy of Gilroyy 69 7351 ROSANNA ST GILROY, CA 95020-6141 E0221nI0'An EBIX BPO �Me C G317g7f �bCD OCT172022 z GILROY CITY CLERK'S OFFICE This document was brought to you by CertificatesNow. - If you have questions regarding the content of this document, please contact - the Producer/Agent listed on the certificate of insurance or the Insured listed - on the notice of cancellation/reinstatement.- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by Cer ificatesNow - www.ConfirmNet.com - 877.669.8600