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HomeMy WebLinkAboutCOI - Allied Universal Topco, LLC - Expires 2024-01-01�`oFzo® CERTIFICATE OF LIABILITY INSURANCE °;vz912022 YYY, 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 MARSH USA INC 1717 Arch Street NAME CT Marsh I U.S. Operations PHONEFail - 866-96fi-0664 FAX No Philadelphia, PA 19103 Attn: Philadelphia.certs@marsh.com I1 &: (212) 948-0360 E-MAIL ADDRESS: Philaddphia.Ceds@marsh com INSURERSAFFORDING COVERAGE NAICN INSURER A: Indian Harbor Insurance Company 36940 CN718025105-ALL-STAND-23-24 INSURED Allied Universal Topco, LLC (See Attached for Additional Named Insureds) INSURER B: Greenwich Insurance Company 22322 INSURER C: XL Insurance America 24554 INSURER D: Indemnity Insurance Company of North America 43575 161 Washington Street, Suite 600 Conshohocken, PA 19428 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-006525310-23 REVISION NUMBER: 2 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 rypE OF INSURANCE ADDLSUBR POUCYNUMBER POLICY EFF MM/DDA'YYY POUCYEXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERALLIABIOTY RES943799403 01/01/2023 01/01/2024 EACH OCCURRENCE $ 30,000,000 CLAIMS -MADE rx I OCCUR DAMAGE IORtfniED PREMISES Ea occurrence $ 30,000,000 X MED EXP (Any one arson) $ CONTRACTUAL LIABILITY X SIR$1,750,000 PERSONAL BAOV INJURY $ 30,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 55,000,000 X POLICY ❑ PRO- F`X] LOC JECT PRODUCTS-COMP/OP AGG $ 55,000,000 $ OTHER' B AUTOMOBILE LIABILITY RAD943781806 01/01/2023 01/01/2024 COMBINED SINGLE LIMIT Ea accident) $ 5,000.000 X BODILY INJURY (Per parse) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Par accident) $ PROPERTYDAMAGE Per accident $ UMBRELLALIAB X OCCUR XSM G725DO027003 01/01/2023 01/01/2024 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 EXCESSUAB CLAIMS -MADE Excess of General Liability, DIED I I RETENTION$ Auto Liability, and Workers Comp $ C C WORKERS COMPENSATION ANDEMPLOYER$'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUDED7 N (Mandatory In NH) NIA RWO300120307(ADS) RWR300120407 (WI) 0110112023 01107/2023 0110112024 01/01/2024 X IPER oTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000.000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Professional Liability RES943799403 01101/2023 01/01/2024 Limit 2,000,000 SIR 1,750.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddiUonal Remarks Schedule, maybe attached If more space is required) City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Public Works Department T�T��r 2aCt/7T�D THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 613 Old Gilroy Road L1�llSl`.7LS VLS ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 JAN 2 5 2023 AUTHORIZED REPRESENTATIVE IGILROYMYCLERK$OFFICE vor-,_ al= 26-1511-4 17"C. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Cl) CA) o oCA)c 0 Q. O DL)o co o� 9,< oo1 SDSD a� 3 cn 0 ca w n AGENCY CUSTOMER ID: CN118025105 _ LOC #: Philadelphia Act ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA INC Allied Universal Topco, LLC (See Attached for Additional Named Insureds) 161 Washington Street, Suite 600 POLICY NUMBER Conshohocken, PA 19428 CARRIER NAIC CODE EFFECTIVE DATE: REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Excess Workers' Compensation Policy No.: RWE943548207 Insurer: XL Specialty Insurance Company Effective Dates: 11112023-11112024 Limit: Employers Liability Each Accident: $1,000,000 Employers Liability Disease -Policy Limit: $1,000,000 Employers Liability Disease -Each Employee: $1,000,000 SIR: $1,000,000 Crime Policy No.: 01-456-75-71 Insurer: National Union Fire Insurance Co. Effective Dates: 08/15/2022 - 08/15/2023 Limit: Employee Theft or Dishonesty: $2.000,000 Clients' Property: $2,000.000 Deductible: $1.000,000 Contractors Pollution Liability Policy No.: CP013303734 Insurer: Commerce and Industry Insurance Company Effective Dates: 11/01/2021-1110112023 Limit: $5,000,000 Deductible: $250,000 The General Liability and Professional Liability policies evidenced above share in the limits shown. The limits do not apply separately to the individual coverages City of Gilroy Public Works Department is additional insured on the above General Liability, and Auto Liability Policies if required by written contract. ACORD 101 (2008/01) 0536-01-00-0004020-0002-0024225 © 2008 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD Named Insured: Allied Universal Topco LLC Additional Named Insured: Adesta LLC Advent Systems, LLC Advent Systems, LLC, dba Allied Universal Technology Services Allied Security Holdings LLC Allied Universal Compliance and Investigations, Inc. Allied Universal Compliance and Investigations, Inc., fka G4S Compliance & Investigations, Inc. Allied Universal Executive Protection and Intelligence Services, Inc. Allied Universal Finance Corporation Allied Universal Holdco LLC Allied Universal Risk Advisory and Consulting Services, Inc. Allied Universal Sideco, LLC AlliedBarton (NC) LLC AlliedBarton (NC) LLC, dba Allied Universal Security Services AiliedBarton Security Services LLC AlliedBarton Security Services LLC, dba Allied Universal Security Services AMAG Technologies, Inc. American Security Programs, Inc. Central Defense Services, LLC ERMC LLC ERMC of America, LLC FJC Security Services, Inc. FJC Security Services, Inc., dba Allied Universal Security Services G4S Holding One LLC G4S Retail Solutions (Canada) Inc. G4S Retails Solutions (USA) Inc. G4S Secure Integration LLC G4S Secure Integration LLC dba Allied Universal Technology Services G4S Secure Solutions International Inc. G4S Secure Solutions (USA) Inc. G4S Secure Solutions (USA) Inc., dba Allied Universal G4S Technology Software Solutions LLC Intelligent Access Systems of North Carolina, LLC Intelligent Access Systems of North Carolina, LLC, dba Allied Universal Technology Services Intelligent Access Systems of North Carolina, LLC, dba Securadyne Systems Mid -Atlantic Michael Stapleton Associates, Ltd. Michael Stapleton Associates, Ltd., dba MSA Security Millard Mall Services Holdco LLC MSA Investigations, Inc. MSA Security, Inc. MSA Security Canada Limited MSA Security Limited KAKI Cleaning Services, LLC Peoplemark, Inc. RONCO Consulting Corporation SecurAmerica, LLC Securadyne Systems Intermediate LLC Securadyne Systems Intermediate LLC, dba Allied Universal Technology Services Securadyne Systems Texas LLC Securadyne Systems Texas LLC, dba Allied Universal Technology Services SFI Electronics, LLC SFI Electronics, LLC, dba Allied Universal Security Systems SFI Electronics, LLC, dba Allied Universal Technology Services SFI Electronics, LLC, dba Universal Protection Security Systems SOS Security LLC SOS Security LLC, dba Allied Universal Risk Advisory and Consulting Services SOS Security LLC, dba Allied Universal Security Services Spectaguard Acquisition LLC Staff Pro Inc. Staff Pro Inc., dba Allied Universal Event Services Titania Insurance Co. of America TMG Facilities Management, LLC U.S. Security Associates Holding Corp. Universal Building Maintenance, LLC Universal Building Maintenance, LLC, dba Allied Universal Janitorial Services Universal Building Maintenance, LLC, dba Allied Universal Landscaping Services Universal Protection GP, Inc. Universal Protection Security Systems, LP Universal Protection Security Systems, LP, dba Allied Universal Security Systems Universal Protection Security Systems, LP, dba Allied Universal Technology Services Universal Protection Service of Canada Corporation Universal Protection Service of Canada Corporation, dba Allied Universal Security Services of Canada Universal Protection Service of Canada Corporation, dba Allied Universal Technology Services Universal Protection Service of Seattle, LLC Universal Protection Service of Seattle, LLC, dba Allied Universal Security Services Universal Protection Service, LLC Universal Protection Service, LLC, dba Allied Universal Risk Advisory and Consulting Services Universal Protection Service, LLC, dba Allied Universal Security Services Universal Protection Service, LLC, dba Allied Universal Security Services, LLC Universal Protection Service, LP Universal Protection Service, LP, dba Allied Universal Risk Advisory and Consulting Services Universal Protection Service, LP, dba Allied Universal Security Services Universal Protection Service, LP, dba Allied Universal Security Services, LP Universal Services of America, LP Universal Services of America, LP, dba Allied Universal Universal Thrive Technologies, LLC Universal Thrive Technologies, LLC, dba Allied Universal Monitoring and Response Center Universal Thrive Technologies, LLC, dba Allied Universal Technology Services Universal Thrive Technologies, LLC, dba Thrive Intelligence USAGM Acquisition, LLC 0536-01-00-0004020-0003-0024226 POLICY NUMBER: RAD943781806 )(IC 414 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Schedule Additional Insureds Work Any person or organization you have agreed to All Operations include as an additional insured under written contract, provided such contract was executed prior to the date of loss. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" the person or organization listed in the Schedule above, but only with respect to liability for "bodily injury" or "property damage" otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of: 1. You, while using a covered "auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto" with your permission; in the performance of your work as described in the Schedule above. In no event shall any person or organization listed in the Schedule become an "insured" pursuant to this Endorsement if such person or organization is solely negligent. IT IS FURTHER AGREED THAT IN NO EVENT SHALL ANY CONTRACT OR AGREEMENT ALTER THE CONDITIONS, COVERAGES OR EXCLUSIONS SET FORTH IN THIS POLICY. All other terms and conditions of this policy remain unchanged. )QC 414 1013 © 2013 X L. America, Inc. All Rights Reserved. Page 1 of 1 VHAR 12/02/2019 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER: RAD943781806 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: ALLIED UNIVERSAL TOPCO, LLC Endorsement Effective Date: January 1, 2023 SCHEDULE Name(s) Of Person(s) Or Organ ization(s): Any person or organization where waiver of our right to recover is required by written contract with such person or organization provided such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 O Insurance Seruces Office, Inc., 2011 fJ yr�l 0536-01-00-0004020-0004-0024227 ENDORSEMENT #024 This endorsement, effective on 01/01/2023 at 12:01 A.M. standard time, forms a part of Policy No. RES943799403 of the INDIAN HARBOR INSURANCE COMPANY Issued to ALLIED UNIVERSAL TOPCO, LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name of person or Organization: Where required by written contract. (If no entry appears rjbove, information required to complete this endorsement will be shown in the Declarations as applicaole to this endorsement) The TRANSFER OF RECOVERY AGAINST OTHERS TO US Condition (Section IV --CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard." This waived applies only to the person or organization shown in the Schedule above. All other terms and conditions remain as written. MANUS 2023 %. L. America Inc. All Nights Reserved May not be colxed without Permission includes copyrighted material of Insurance Services Office, tnc. with its permission WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization where waiver of our right to recover is required by written contract with such person or organization provided such contract was executed prior to the date of loss. 51 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01-01-2023 Policy No. RWD3001203-07 Endorsement No. Insured Allied Universal Topco, LLC Insurance Company Countersigned by XL Insurance America, Inc. WC 00 03 13 (Ed. 4-84) 1983 rational Council on Compensation Insurance. 0536-01-00.0004020-0005-0024228 ENDORSEMENT #050 This endorsement, effective on 01/01/2023 at 12:01 A.M. standard time, forms a part of Policy No. RES943799403 Issued to ALLIED UNIVERSAL TOPCO, LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided by the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. SECTION II - Who Is an Insured is amended to include as an additional insured a person(s) or organization(s) who is required to be added by written contract or written agreement which does not require that a specific form number be used. B. The insurance provided to additional insureds applies only to "bodily injury", "property damage", "professional liability" 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; or "your work" 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. 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. MANUS 4 2022 X. i Anterica Inc. All Righti Rescsred May not be copmd mtttout pernussson 1nUudes copyrighted material at Insurance Services Ufflce, Inc wito its ; etroixsion D. The additional insured must see to it that: L We are notified as soon as practicable of an "occurrence" or offense that may result in a claim. 2. We receive written notice of a claim or "suit" as soon as practicable; and 3, A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured also has rights an insured or additional insured. E. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: 1< The additional insured is a Named Insured under such other 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 insurance available to the additional insured. All other terms and conditions remain as written. MANUS t 2022 X. l AG:enCa lne. All Rightt ileSelved May not be copied wit"out peovission irclufts Copylignted material of lnszran a semius Office, Inc v.it?: its perAllssion 0536-01-00-0004020-0006-0024229