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HomeMy WebLinkAboutCOI - Frank & Grossman Landscape Contractors, Inc. - Expires 2023-09-01ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE MIDD (M oz 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 (PT) Heffernan Insurance Brokers 101 2nd Street, Suite 120 Petaluma CA 94952 NAMEIICT Maria HIII PHONE . 707-789-3069 FAc No:707-781-0800 A'Dr" DRESS, MariaH heffins.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Oak River Insurance Company 34630 INSURED FRANGRO-01 INSURER B: Argonaut Insurance Company 19801 Frank & Grossman Landscape Contractors, Inc. 3428 Arden Road INSURER C: Hayward CA 94545 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 356980098 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 JumADDL SUER POLICYNUMBER MMNOYEFF MM/DD IXP UNITS B GENERAL LIABILITY CLAIMS -MADE OCCUR Y LAN290148902 9/1/2022 9/1/2023 EACH OCCURRENCE $1.000.000 #C,0MMERC[AL 0 RENTED PREMISES(Ea occu enoa $100,000 MED ELP(My onePerson) $5,000 PERSONALBADV INJURY S1,000,000 GENT AGGREGATE LIMIT APPLIES PER POLICY[X]PESO- LOC OTHER: GENERA -AGGREGATE $2.000.000 PRODUCTS-COMP/OP AGG $2.000.000 $ a AUTOMOBILELUBILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X1AUTOS ONLY AUTOS ONLY LAA290148902 9/1/2022 9/1/2023 COMBINED SINGLE LIMIT Me eWdert $1,000.000 BODILY INJURY (Per person) 5 BODILY INJURY (Par acdden) S PROPERTY DAMAGE Pet acrid $ 4 B UMBRELLALIA9 EXCESS uJut X OCCUR CLAIMS44ADE LAX290148902 I 9/1/2022 9/1/2023 EACH OCCURRENCE 55,000,000 X AGGREGATE 55,000,000 DED I X I RETENTIONS n XS over GL, Auto, EL S a WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORMARTNERIEXECUTNE OFFICERIMEMBEREXCLUOED? (Mandatory In NH) If yes, describe urMer DESCRIPTION OF OPERATIONS below NIA I FRVVC420263 4/1/2023 4/1/2024 X STATUTE ER E.L. EACH ACCIDENT 51,000.000 E.L. DISEASE -EA EMPLOYEE S1,000,000 E.L. DISEASE -POLICY LIMIT $1.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe aeached if more apace is ra9ulred) Re: As Per Contract or Agreement on File with Insured. CiN of Gilroy, its officers, officials and employees are included as an additional insured on General Liability policy per the attached endorsement, if required. T is Certificate replaces and supersedes all previously issued certificates. �6LSOM(�D GILROYCrrU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE '1t CLERY11S LirFICC THE EXPIRATION NCE THDAT THE THEREOF,LICY PROVISIONS.NTICE WILL BE DELIVERED IN City of Gilroy Its officers, officials and employees 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 01998-2015 ACORD CORPORATION. All rlahts ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD LAN2901489-02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION -DEDICATED INSURANCE PROGRAM(S) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions is amended by the addition of the following: This insurance does not apply to: Dedicated Insurance Programs) "Bodily injury" or "property damage" arising out of either your ongoing operations or operations included within the "products -completed operations hazard", performed by or on behalf of the insured at any project(s) which is or was subject to a "dedicated insurance program". This exclusion applies whether or not the "dedicated insurance program": 1. Provides coverage identical to that provided by this Coverage Part; 2. Provides coverage to one or more contractors; 3. Provides multiple lines of coverage; 4. Has limits adequate to cover all claims; or 5. Remains in effect. B. SECTION V — DEFINITIONS is amended and the following added: "Dedicated insurance program" means a centralized insurance program under which one party has secured either insurance or self-insurance covering some or all of the contractors or subcontractors performing work on one or more specific project(s), owner controlled insurance program(s), contractor controlled insurance program(s), or other project specific insurance policy whether provided by you, or any other person or entity if you are an insured under such insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U483-0620 Page 1 of 1 POLICY NUMBER: LAN2901489-02 COMMERCIAL GENERAL LIABILITY CG20121219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: City of Gilroy Its Officers, Officials and Employees 7351 Rosanna Street Gilroy, CA 95020 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 any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. 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. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". 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. CG 20 12 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1