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HomeMy WebLinkAboutCOI - Crane Acquisition, Inc. dba Crane Pest Control - Expires 2024-01-01Page 1 of 2 CERTIFICATE OF LIABILITY INSURANCE "0 /08/2023 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: It 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 Willis Towers Watson Southeast, Inc. Five Concourse Corporate Center, 18th Floor Atlanta, GA 30328 INSURED Crane Acquisition, Inc. dea Crane Peat Control 2700 Geary Blvd San Francisco, CA 94118 Willis Towers Watson Certificate Center Kill 1-877-945-7378 (NC. Not: 1-888-467-2378 certificatesswillis.com Old Republic Insurance Company 24147 ACE Property 6 Casualty Insurance Company 20699 Indemnity Insurance Company of North Ameri 43575 ACE American Insurance Company 22667 COVERAGES CERTIFICATE NUMBER: W27805735 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 CCLAIMS. ILTR TYPE OFINSURANCE �NOL9ilOPODCYNUMBER MMIDCVVP MMNDIVYYY UMTS X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 31000,000 CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISE E rrerme $ 3,000,000 MED EXP (Any one person) $ 0 A X Pesticide/Herbicide Coverage. X Pest Control Professional Y Y MINEY 312034-23 01/01/2023 01/01/2024 PERSONAL A ADV INJURY $ 3,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO. X LOC POLICY JECT PRODICTS-COMPIOP AGO $ 3,000,000 $ OTHER: AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT Me accMent $ 3,000,000 BODILY INJURY (Per parson) $ �( ANY AUTO A OWNED SCHEDULED MTB 312033-23 01/01/2023 AUTOS ONLY AUTOS i 01/01/2024 BODILY INJURY (Per aWdant) $ PROPERTY DAMAGE P r itl t $ HIRED NON-0WNED AUTOS ONLY AUTOS ONLY S B X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS*MADE XEU G27927683 008 01/01/2023 01/01/2024 EACHOCCURRENCE $ 5,000,000 AGGREGATE $ 510001000 OED _ X RETENTION$ 50, 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE Y / N OFFICERIMEMBEREXCLUDED7 No (Mandatory in NH) NIA MR C5067B544 Ol/01/2023 01/01/2024 X I STER ATUTE FA E.L.EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE -- --'-' $ 21000,000 II es, describe uMer DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT $ 21000,000 D Excess Workers Camp WCU C50678325 01/01/2023 01/01/2024 E.L. Each Accident $2,000,000 E.L. Disease -EA Emp 42,000,000 E.L. Disease- Vol L 02,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be Sneered It more apace Is required) Service Location: Pigeon Exclusion: 340 West 6th Street, Gilroy, CA 95020 City of Gilroy, its officers, officials, employees and volunteers are included as Additional Insureds as respects to General Liability but solely in regards to work performed by or on behalf of the Named Insured. General Liability policy shall be Primary and Non -Contributory with any other insurance in force for or which may be 1 nil C�LSQ� D� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN JAN 2 5 2023 ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy Attn: Dan Johnson GILROY MY CLERICS OFFICE AUTHORIZEOflEPRE9ENTATIVE O 1988-2016 ACORD CORPORATION. All riahts reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD as VD: 23585453 aarcH: 2799488 2 of 4 12243 AGENCY CUSTOMER ID: LOC #: ACa � ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 AGENCY NAMED INSURED Willis Towers Watson Southeast, Inc. Crane Acquisition, Inc. dba Crane Post Control 2700 Geary Blvd San Francisco, CA 94118 POLICY NUMBER See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 AUUI11QNAL HE ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance purchased by Additional Insureds. Waiver of Subrogation applies in favor of Additional Insureds with respects to General Liability. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:23585453 BATCH:2799488 CERT: W27805735 Rollins, Inc. et al. Policy Term: 1/112023 to 1/1/2024 Workers' Compensation and Employers Liability Policy Addendum Coverage Policv Number Carrier WC Covera a EL Limits Work Comp/EL WLR C50678544 Indemnity Insurance Company of North America: Statutory $2.000,000 Bodily Injury by Accident - covers states of Each Accident/$2,000,000 Each Employee AL,AR,CO,CT DC,DE,HI,IA,ID,IL, Bodily Injury by Diseasel$2.000,000 Policy IN.KS.KY1A.MD,ME.MI.MN.M0.MS MT NC.NE,NH,NJ,NM,NV.NY,OK,PA, RI, Limit Bodily Injury by Disease SC,SD. TN,TX.UT,VA.VT,WV - This policy also provides Stop Gap coverage for NO. OH WA, WY Work Comp/EL WLR C50678398 ACE American Insurance Company Statutory $2,000,000 Bodily Injury by Accident - covers state of AZ, CA, MA & Each Accident/$2,000,000 Each Employee OR Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Work Comp/EL SCF C50678489 ACE Fire Underwriters Insurance Statutory $2,000,000 Bodily Injury by Accident - Company: Each Accident/$2,000,000 Each Employee covers state of WI Bodily Injury by Diseasel$2,000,000 Policy Limit Bodily Injury by Disease Excess Work WCU C50678325 ACE American Insurance Company: Statutory $2,000.000 Bodily Injury by Accident - Comp/EL coverage applies to the qualified self Each Accident/$2,000,000 Each Employee insured states of FL. GA & OH Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease 3 of 4 12243 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG20101219 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 Organizations) I Location(s) Of Covered Operations All Persons or Organizations as Required by Contract or Agreement I All locations as required by Contract or Agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I 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 Pagel of 2 MWZY 312034 23 Rollins, Inc. 01/01/23 - 01/01/24 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. not increase the Page 2 of 2 © Insurance Services Office, Inc., 2018 MWZY 312034 23 Rollins. Inc. 01101/23 - 01/01/24 CG20101219 4 of 4 12243 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 3712 19 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 PROD UCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations As required by written contract As required by written contract 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: 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 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 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 MWZY 312034 23 Rollins. Inc. 01101/23 - 01/01/24