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HomeMy WebLinkAboutCOI - Randazzo Enterprises, Inc. - Expires 2022-04-13RAN DA-3 A�OO� CERTIFICATE OF LIABILITY INSURANCE DATE (M7THIS 12/2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD 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 endorsements . PRODUCER 831-423-8542 DCD Financial & Insurance Svcs P.O. Box 4209 1123 Soquel Ave Santa Cruz, CA 95062 Clay Timmons CONTACT Clay Timmons PHONE 831-423-8542 FAX 831-423-5714 A/C, No, Ext): AIC, No): E-MAIL INSURERS AFFORDING COVERAGE NAIL # INSURER A: Nautilus Insurance Company 17370 INSURED Randazzo Enterprises, Inc. 13560 Blackie Rd. Castroville, CA 95012 INSURER B : Everest National Insurance 10120 State Compensation Ins. Fund INSURER C : p 35076 INSURER D : INSURER E : INSURER F 0%0%%.t-_MArrcn1r101f%A1rc 10 co. RFVICInIU NI IRRRFR- 1. - 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 TYPE OF INSURANCE LTR ADDL SUB WyDPOLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurre $ 300,000 OCCUR CLAIMS-MADE7 X X ECP2031789-11 04113/2021 041'13/2022 MED EXP (Any one person $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE AGGREGATE LIMIT APPLIES PER POLICY X JPE�T 71 LOC PRODUCTS - COMPIOP AGG 2,000,000 OTHER B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY Perperson) $ I ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS p HUIR ONLY X AUTOS ONLY X CF2CA00224211 04/13/2021 04/13/2022 BODILY INJURY Per accident BODILY $ PROPERTY acEciden DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETOR/PARTNER/EXECU I IVE OFFICER/MEMBER EXCLUDED (Mandatory in NH) N / A 9265911.2022 01/01/2022 01/01/2023 X PER OTH- S LITE E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L DISEASE -POLICY LIMIT 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Pollution Liab ECP2031789-11 04/13/2021 04113/2022 Per Occ 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy, it's officers and emplo ees are named as additional insured per Forms BSUM 1200 01-20 and RCA 04 521 attached, with respect to operations of the named insured at job #7322 located at 402 Madison Court, Gilroy, CA. GL waiver of subrogation applies per Form BSUM 1200 (11-19), attached. Primary wording applies per attached endorsements. CITY735 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserves. The ACORD name and logo are registered marks of ACORD