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HomeMy WebLinkAboutCOI - Ross Recreation Equipment Company, Inc. - Expires 2022-10-01ROSSREC-01 SRSPATRA3 .4o- CERTIFICATE OF LIABILITY INSURANCE DATE 1015/20212021 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 endorsements). PRODUCER ProC910 EoInsurance Hamilton Ave Services #410 Campbell, CA 95008 CONNTACT Kim Christensen _NAM19• c, No, Ext): (408) 510-5487 (,vHONE jaC, No): EDDRIESS: kim.christensen@proco.global INSURER(S) AFFORDING COVERAGE l NAIC # INSURER A: Associated Industries Insurance Company, Inc.123140 INSURED INSURER B : General Casual Company of Wisconsin 24414 INSURER C : Oak River Insurance Company 34630 Ross Recreation Equipment Company, Inc. 100 Brush Creek Road, Ste 206 Santa Rosa, CA 95404 INSURER D : INSURER E : 1 INSURER F : COVERAGES CFRTIFICATF All IMR1=R• 12o11101n&I Lu uenrn. 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 ADDL''SUBRI LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF I POLICY EXP LIMITS _ A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1000000 ' ' --- CLAIMS -MADE X I OCCUR X AE$102952403 $ 10/1/2021 10/1/2022 DAMAGE TO RENTED $ 50,000 PJ3EMISES (Ea occurcence)__: rMED EXP (Any one person) l $ -- j PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: —XI GEN'L GENERAL AGGREGATE $ 2,000,000 POLICY[ jCT LOC I PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: S B AUTOMOBILE LIABILITY I C O aid D SINGLE LIMIT $ 1,000,000 ANY AUTO BCA000407002 -� 10/1/2021 10/1/2022 BODILY INJURY (Per person $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident HID NON -OWNED AU S ONLY ` AUTOS ONLY PROPERTY DAMAGE (Per accident) $ S A UMBRELLA LIAB X OCCUR EACH OCCURRENCE Is 2,000,000 X EXCESS LIAB CLAIMS -MADE EXA105529403 10/1/2021 10/1/2022 AGGREGATE $ 2,000,000 DEO X RETENTION $ 0 $ C WORKERS COMPENSATION I AND EMPLOYERS'LIABILITY X I PER OTH- "_ $IMT 1� ANY PROPRIIETgOWARTNER/EXECUTIVE fY 1 N� ROWC227'100 EXCLUDED? NIA" 10/1/2021 10/1/2022 E.L. EACH ACCIDENT $ 1,000,000 Mandatory in NR 1,000,000 If yes, describe under E.L. DISEASE - EA EMPLOYEE S DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 I � DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more spaco Is required) Re: Service Agreement: Fire Department Personnel Testing. City of Gilroy, its officers, officials and employees are named as an additional insured on General Liability policy per the attached endorsement. City of Gilroy Its officers, officials and employees 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 - N At AI;UKU ZO (ZU161U3) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD oil POLICY NUMBER: AES102952402 COMMERCIAL GENERAL LIABILITY CG20100413 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)Location(s) Of Covered Operations All persons or organizations where required by contract with the Named Insured I 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. 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 However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 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 Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 0413 ROSSREC-01 SRSPATRA3 '4� Raw CERTIFICATE OF LIABILITY INSURANCE DATE10/5120212021 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 endorsements). PRODUCER Ca ACT Kim Christensen ProCo Insurance Services 910 E Hamilton Ave ##410 Campbell, CA 95008 PAHic°°, No, Ext): (408) 510-5487 1 FAX E-MAIL kim.christensen roco. lobal _AoDLl;ss: @p 9 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Associated Industries Insurance Company, Inc.I23140 INSURED INSURER B : General Casualty Company of Wisconsin 24414 INSURER C : Oak River Insurance Company 34630 Ross Recreation Equipment Company, Inc. 100 Brush Creek Road, Ste 206 Santa Rosa, CA 95404 INSURER D : j INSURER E : INSURER F : COVERAGES CFRTIFICATF MIIMFt;i OCILA011nsl K1"senen. 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. ILTR NSR I TYPE OF INSURANCE ADOL SUSO WBR POLICY NUMBER FO6 ICY EFF DMM ' POLICY EXP I LIMITS IDDMOM A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X ±OCCUR X j AES102952403 10/1/2021 10/1/2022 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES (Ea mui[ence) $ 50,000 MED EXP (Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JEBCT L0C PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG 52,000,000 OTHER: S B AUTOMOBILE LIABILITY X ANY AUTO BCA000407002 10/1/2021 10/1/2022 OWNED SCHEDULED AUTOS ONLY L!, AUTOS p HAUTOS ONLY AUTOS ONLY j COMBINED SINGLE LIMIT E.;�acc+dent) 1,000,000 $ BODILY INJURY (Per person) S j BODILY INJURY Per accident S _ PRa�den DAMAGE S is A X UMBRELLA LIAB X , OCCUR EXCESS LIAR I CLAIMS -MADE DED I X I RETENTION $ 0 EXA105529403 10/1/2021 10/1/2022 EACH OCCURRENCE Is 2,000,000 AGGREGATE I $ 2,000,000 S C ,WORKERS COMPENSATION i PER OTH- AND EMPLOYERS' LIABILITY X STATUT ' EB_ ANY PROPRIETORMARTNERIEXECUTIVE YIN ROWC227100 10/112021 101112022 1,000,000 E �� �l NIA! A E.L. EACH ACCIDENT S Mandatory in NH) EXCLUaED? -- E.L. DISEASE - EA EMPLOYEE1000000 ' ''S If yes, describe under 1000000 DESCRIPTION OF OPERATIONS below i E.L. DISEASE - POLICY LIMIT S ' ' 1 j DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Wood PLC, located in Gilroy, CA Wood Environment & Infrastructure Solutions, Inc. & City of Gilroy are named as an additional insured on General Liability policy per the attached endorsement. 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 A Aw ALUKU Zb (ZU16/U3) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r , POLICY NUMBER: AES102952402 COMMERCIAL GENERAL LIABILITY CG20100413 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) I Location(s) Of Covered Onerations All persons or organizations where required by contract with the Named Insured 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" pp y y caused, in whole or in part, by: property damage occurring after: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to itsintended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 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 Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 10 04 13