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HomeMy WebLinkAboutCOI - Intelligent Technologies & Services, Inc. - Expires 2022-09-30,a►coRO® CERTIFICATE OF LIABILITY INSURANCE 9/30/202209/29/2021 ATE(MWDDNYYY) r 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 endorsement(s). PRODUCER Lockton Companies CONTACT PHONE FAX 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 E-MAIL (816) 960-9000 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Gemini Insurance Company 10833 INSURED INTELLIGENT TECHNOLOGIES & INSURER B : Travelers ProperW Casualty Co of America 25674 INSURER C : Lexington Insurance Company 19437 868 SERVICES, INC. 1031 SERPENTINE LANE, SUITE 101 PLEASANTON CA 94566 INSURER D : INSURER E : INSURER F : COVERAGES + CERTIFICATE NUMBER: 91878 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUB WVD POLICY NUMBER POLICY EFF MMIDDIYYW POLICY EXP MMIDDIYYYY LIMITS A x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 1 $100,000 DIED N N VMGP004346 09/30/2021 09/30/2022 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea oc=nce) $ 100,000 x MED EXP (Any oneperson) $ 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 - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY x 500 COMP x 1 000 COLL N N 1 810-5387B882-21-14 1 09/30/2021 09/30/202 COaccidenntSINGLE LIMIT $ 1,000 000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $XXXXXXX F tOPERTY AMAGE er accident $XXXXXXX $ xxxxxxx C X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE N N 16123033 09/30/2021 09/30/202 EACH OCCURRENCE $ 5,00a 000 AGGREGATE $ 5,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY OFFICERIMEMBER EXCLUDED? ECUTIVE (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below NIA N UB-8K759731-21-14-G 09/30/2021 09/30/202 XTUT - E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) RE: GILROY. CITY OF GILROY IS ADDITIONAL INSURED ON A PRIMARY COVERAGE BASIS AS RESPECTS LIABILITY COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT. CaK I IrIt;A I t: MULUt:K GANL+t:LLA I IUN JCt: Mttacnn It:r I I., SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 91878 AUTHORIZED REPRESENTATIVE CITY OF GILROY ATTN: MARTIN QUIROZ 7351 ROSANNA STREET GILROY, CA 95020-6141 .a,,I� Ire'? ACORD 25 (2016/03) 01988-2015 AcORID CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD Attachment Code: D564542 Certificate ID : 91878 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City, MO 64112 INTELLIGENT TECHNOLOGIES &.; 1868 me O O 91878 CITY OF GILROY 7351 ROSANNA STREET, GILROY „ CA 95020-6141 Dear Valued Client: In our continuing effort to provide timely certificate delivery, Lockton Companies is utilizing paperless delivery of Certificates of Insurance. To ensure electronic delivery for future renewals of this certificate, we need your email address. Please contact us via the email below and reference Certificate ID: 91878. You must reference this Certificate ID number in order for us to complete this process. Q Certificate ID: 91878 p Email: kctsu@lockton.com p Subject Line: TSU E-Delivery If you received this certificate through an internet link where the current certificate is viewable, we have your email and no further action is needed. Please note that after February 2022, printed certificates will no longer be available. If you no longer need this certificate, please contact us at the email address above, reference the Holder ID number and use this subject line: "Certificate Removal" NOTE: The above email is a collector email regarding electronic delivery of certificates only. Please do NOT send certificate requests or other insurance inquiries to this inbox as responses wi l l be delayed or missed. Thank you for your cooperation and willingness in reducing our environmental footprint. Lockton Companies Technical Services Unit Email i Mailing Update - Liability Certi;icates Miscellaneous Attachment : M4949 Certificate ID : 91878 Policy Number: VMGP004346 VE 09 73 04 20 Insured Name: Fike Corporation Number: 101 Effective Date: 09/30/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other Commercial General Liability insurance available to an additional insured under your policy, but only if: (1) The additional insured is a Named Insured under such other Commercial General Liability insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other Commercial General Liability insurance available to the additional insured. Coverage granted to an additional insured remains subject to all terms, conditions, limitations, and exclusions set forth in the endorsement form that conferred the additional insured status. In the event of conflict between this endorsement and an endorsement conferring additional insured status, then the endorsement conferring additional insured status shall govern the scope of coverage available to the additional insured. All other terms and conditions of this Policy remain unchanged. VE 09 73 04 20 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 1 with its permission Miscellaneous Attachment: M4948 Certificate ID: 91878 Policy Number: VMGP004346 Insured Name: Fike Corporation Number: 64 CG 20 10 1219 Effective Date:0913012021 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) Locations Of Covered Operations Any person or organization when you have agreed All locations for which you have agreed in in a written and executed contract, prior to an a written and executed contract prior to an "occurrence", that such person or organization be "occurrence." added as an additional insured 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: 91878 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. CG 20 10 12 19 0 Insurance Services Office, Inc., 2018 Page 2 of 2 ,d►coRn� CERTIFICATE OF LIABILITY INSURANCE `..� 9/30/2022 DATE(MMIDDIYYYY) 09/29/2021 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. 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 NAMFffi PHONE FAX 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 E-MAIL ADDRESSe (816) 960-9000 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Gemini Insurance Company 10833 INSURED INTELLIGENT TECHNOLOGIES & INSURER B : Travelers Property Casualtv Co of America 25674 INSURER C : 199 SERVICES, INC. 1031 SERPENTINE LANE, SUITE 101 PLEASANTON CA 94566 INSURER D : INSURER E : INSURER F : COVERAGES t CFRTIFICATF Nl1MRF_R '1 'I JFi /hh"l RFVI-qI[71d NI IMRFR- X X X X X X X 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 CON DITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RED CED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDL INSD SUB WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY11 LIMITS A X COMMERCIAL GENERAL LIABILITY 7 CLAIMS -MADE OCCUR $100,000 DED Y N VMGP004346 09/30/2021 09/30/2022 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence) $ 100,000 X MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYa JSCT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2 00O 000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X 500 COMP X $1,000 COLL N N 810-5387B882-21-14 09/30/2021 09/30/202 COaccdeDSlNGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXX)(XX BODILY INJURY (Per accident) $ XXX)(XXX PROPERTY AMAGE Per accident $XXXXXXX $ XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I RETENTION $ $ WORKERS COMPENSATION B AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) DESCRIPTIdii dV 6PERAnoNS below NIA A i� 1 1 V UB-8K759731-21-14-G 09/30/2021 09/30/202 X E.L. EACH ACCIDENT $ ,OOO,OOO E.L. DISEASE - EA EMPLOYEE $ 1,000,000 rvui.I UIVII I I DESCRIPTION OF OPERATIONS I LOCATIONS I 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. 11267552 CITY OF GILROY 7301 HANNA STREET GILROY CA 95020 %rhUYVCLLA 1 IWIV VGR r-%LLQI,I II I IGI ILO 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 (2016/03) 0 1988-2015 ACORD CORPORATION_ All rinhfc racarvael The ACORD name and logo are registered marks of ACORD I Attachment Code: D564542 Certificate ID: 11267552 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City, MO 64112 INTELLIGENT TECHNOLOGIES &.; 1199 11267552 CITY OF GILROY 7301 HANNA STREET, GILROY, CA 95020 Dear Valued Client: In our continuing effort to provide timely certificate delivery, Lockton Companies is utilizing paperless delivery of Certificates of Insurance. To ensure electronic delivery for future renewals of this certificate, we need your email address. Please contact us via the email below and reference Certificate ID: 11267552. You must reference this Certificate ID number in order for us to complete this process. Q Certificate ID: 11267552 Q Email: kctsu@lockton.com Q Subject Line: TSU E-Delivery If you received this certificate through an internet link where the current certificate is viewable, we have your email and no further action is needed. Please note that after February 2022, printed certificates will no longer be available. If you no longer need this certificate, please contact us at the email address above, reference the Holder ID number and use this subject line: "Certificate Removal" NOTE: The above email is a collector email regarding electronic delivery of certificates only. Please do NOT send certificate requests or other insurance inquiries to this inbox as responses will be delayed or missed. Thank you for your cooperation and willingness in reducing our environmental footprint. Lockton Companies Technical Services Unit Email / trailing Update - Liability Certificates Miscellaneous Attachment : M4948 Certificate ID : 11267552 Policy Number: VMGP004346 Insured Name: Fike Corporation Number: 64 CG 20 10 12 19 Effective Date:09/30/2021 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 Coveraqe Part Schedule Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Any person or organization when you have agreed All locations for which you have agreed in in a written and executed contract, prior to an a written and executed contract prior to an "occurrence", that such person or organization be "occurrence." added as an additional insured 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. CG 20 10 12 19 C Insurance Services Office, Inc., 2018 Page 2 of 2