HomeMy WebLinkAboutCOI - CalAtlantic Group, Inc. - Expires 2022-06-01ACORL7® CERTIFICATE OF PROPERTY INSURANCE °o6/ozizoz' i '
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.
PRODUCER CONTACT
NAME:
Aon Risk Services, Inc of Florida PHONE FAX
1001 Bri ckel l Bay Drive (A/C. No. Ext): (866) 283-7122 (AIC. No.): (800) 363-0105
EMAIL
Suite 1100 ADDR
Miami FL 33131 USA PRODUCER C70000069965
CUSTOMER ID #:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED INSURER A: Endurance American specialty Ins Co. 41718
CalAtlantic Group, Inc. INSURERS:
15131 Alton Parkway, Suite 345 INSURERC:
Irvine CA 92618 USA INSURER 0:
INSURER E:
INSURER F:
f'AVCRAf�GC PC0TIC1(%AT1Z A11111ADC0- S70087SS2678 0CV1IQlnM Ali IRADCQ.
LOCATION OF PREMISES! DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, It more space is required)
Re: Glen Loma Ranch - specific Plan, Phase 1A Backbone Improvements, Grading. Santa Theresa Blvd, Miller Ave, west Luchessa Ave,
Cimino street -- City of Gilroy, Santa Clara County, CA.
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
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YYYY)
POLICY EXPIRATION
DATE (MM/DD/YYYY)
COVERED PROPERTY
LIMITS
A
X PROPERTY
CAUSES OF LOSS
DEDUCTIBLES
See Attached
06 1
SOS 2
BUILDING
PERSONAL PROPERTY
BUSINESS INCOME
EXTRA EXPENSE
RENTAL VALUE
BLANKET BUILDING
BLANKET PIERS PROP
BLANKET BLDG & PP
Business Income & Ex
Loss Limit
BASIC
BUILDING
BROAD
SPECIAL
CONTENTS
EARTHQUAKE
WIND
X
$10,000,000
FLOOD
X
Included
X
ALL RISK -Subject to Exclusions
X
Included
Blkt PP Ded
X
$60.000,000
A
X
INLAND MARINE
OF LOSS
NAMED PERILS
All Risk
TYPE OF POLICY
Builders Risk
06/01/2021
06/01/2022
X
Loss Limit
Deductible
$60.000,000
CAUSES
POLICY NUMBER
See Attached
X
$50,000
X
CRIME
TYPE OF POLICY
BOILER & MACHINERY /
EQUIPMENT BREAKDOWN
SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
CERTIFICATE HOLDER
City of Gilroy
Attn: Public works Dept
ra Cervantes
73yMay1 Rosanna Street
Gilroy CA 95020 USA
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CANCELLATION
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
PROVISIONS.
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AUTHORIZED REPRESENTATIVE &CM A wyaa�nw 4 Q 1
01995-2015 ACORD CORPORATION. All rights reserved.
ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 570000069965
LOC #:
'4� ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY
Aon Risk Services, Inc of Florida
NAMEDINSURED
CalAtlantic Group, Inc.
POLtCY NUMBER
See Certificate Number: 570087552678
CARRIER
See Certificate Number: 570087552678
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 24 FORM TITLE: Certificate of Property Insurance
Additional Information
JPolicy Period: June 1, 2021 - June 1, 2022
Carrier / Policy #/ Participation:
Endurance American Specialty Insurance Co.; IMU10004883107 $33.06m part of $87mm
Illinois union Insurance Co.; 108858664006; $21.75mm part of $87mm
underwriters at Lloyds (various syndicates); PTNAM21001206; $9mm part of Win
Risk Smith (various Lloyds syndicates); 21PHB0030; $10.4mm part of $87mm
Evanston Insurance Company; MKLv18PP000061; $8.7mm part of $87mm
stand -Alone Terrorism:
Policy# CMCTR2101192 with various Lloyds syndicates; Limit: $50M.
other Deductibles:
Earthquake shock in the state of California: 5% of the Total insurable values at time of loss of the affected
building(s), subject to a minimum of USD500,000 per occurrence.
Flood: 5% of the total Insurable values in respect of Flood with respect to locations wholly or partially
within Special Flood Hazard Areas (SFHA), Areas of 100-year Flooding as defined by the Federal Emergency
Management Agency (if these locations are not excluded elsewhere in this policy) subject to a minimum of USD
500,000 per occurrence.
TOTAL PROPERTY/BUILDERS RISK LIMITS: $60,000,000
ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
•d►� o® CERTIFICATE OF PROPERTY INSURANCE DATE 02/2021Y)
06/02/2021
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.
PRODUCER CONTACT
NAME:
Aon Risk Services, Inc of Florida PHONE FAx
1001 Brickell Bay Drive (A/C. No.Ext): (866) 283-7122 (A/C No.)-(800) 363-0105
Suite 1100 EMAIL
Miami FL 33131 USA ADD
PRODUCER 5
CUSTOMER ID #:70000069965
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED INSURER A: Endurance American Specialty Ins Co. 41718
CalAtlantic Group, Inc. INSURERS:
15131 Alton Parkway, Suite 345 INSURERC:
Irvine CA 92618 USA INSURER0:
INSURER E:
INSURER F:
f`nVCRA[2GC r1C0TICIt%ATC AIIIUDCD• 57nnR75S7fi77 DC\/IQIf%m M11"01=0.
LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Romarks Schedule, It more space Is required)
Re: Property Improvement Agreement No. 2015-01; APN: 808-19-019; Project Name: Vista Bella Tract 10255 - Infrastructure
Improvements for 146 Residential Lots; Location: west Luchessa Avenue and Cimino street, City of Gilroy, Santa Clara County, CA.
Property Improvements: Streets, sidewalks, sewer, water and recycled water utilities. Value: $4,599,425.00.
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
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YYYY)
POLICY EXPIRATION
DATE (MWDD/YYYY)
COVERED PROPERTY
LIMITS
A
X PROPERTY
CAUSES OF LOSS
DEDUCTIBLES
See Attac a
06 01 i
BUILDING
PERSONALPROPERTY
BUSINESS INCOME
EXTRA EXPENSE
RENTAL VALUE
BLANKET BUILDING
BLANKET PERS PROP
BLANKET BLDG & PP
Business Income & Ex
Loss Limit
BASIC
BUILDING
BROAD
SPECIAL
CONTENTS
EARTHQUAKE
WIND
X
$10,000,000
FLOOD
X
Included
X
ALL RISK -Subject to Exclusions
X
Included
Blkt PP Ded
I
X
$60.000,000
A
X
INLAND MARINE
OF LOSS
NAMED PERILS
All Risk
TYPE OF POLICY
Builders Risk
06/01/2021
06/01/2022
X
Loss Limit
Deductible
$60.000,000
CAUSES
POLICY NUMBER
see Attached
X
$50,000
X
CRIME
TYPE OF POLICY
BOILER & MACHINERY /
EQUIPMENT BREAKDOWN
SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
City of Gilroy is included as Loss Payee in accordance with the policy provisions of the Builders Risk/Property policy.
CERTIFICATE HOLDER
City of Gilroy
Attn: Public works Dept
Mayra Cervantes
7351 Rosanna Street
Gilroy CA 95020 USA
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CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
PROVISIONS.
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AUTHORIZED REPRESENTATIVE i
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01995-2015 ACORD CORPORATION. All rights reserved.
ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 570000069965
LOC #:
'4�Ole" ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY
Aon Risk services, Inc of Florida
NAMED INSURED
calAtlantic Group, Inc.
POLICY NUMBER
See Certificate Number: 570087552677
CARRIER
See certificate Number: 570087552677
NAJC CODE
EFFECTIVE DATE:
i
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 24 FORM TITLE: Certificate of Property Insurance
Additional Information
JPolicy Period: June 1, 2021 - June 1, 2022
Carrier / Policy #/ Participation:
Endurance American Specialty Insurance Co.; IMU10004883107 $33.06m part of $87mm
Illinois Union Insurance Co.; 108858664006; $21.75mm part of $87mm
Underwriters at Lloyds (various syndicates); PTNAM21001206; $9mm part of $60m
Risk Smith (various Lloyds syndicates); 21PHB0030; $10.4mm part of $87mm
Evanston Insurance Company; MKLV18PP000061; $8.7mm part of $87mm
Stand -Alone Terrorism:
Policy# CMCTR2101192 with various Lloyds syndicates; Limit: $50M.
other Deductibles:
Earthquake shock in the state of California: 5% of the Total Insurable values at time of loss of the affected
building(s), subject to a minimum of USD500,000 per occurrence.
Flood: 5% of the total Insurable values in respect of Flood with respect to locations wholly or partially
within special Flood Hazard Areas (SFHA), Areas of 100-year Flooding as defined by the Federal Emergency
Manaement Agency (if these locations are not excluded elsewhere in this policy) subject to a minimum of USD
500,800 per occurrence.
'AL PROPERTY/BUILDERS RISK LIMITS: $60,000,000
ACORD 101 (2008/01) 0 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD