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Home My WebLink AboutCOI - Jua Capital LLC - Expires 2023-12-01DocuSign Envelope ID: C63E5814-285A-4575-A3E6-F6AO87BO3266 '�►`�RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY" 07/10/2023 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 pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S 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 CON A T Keaton NAME: Carlson Renewable -Guard Insurance_Brokers-LLC- PHONE____- . _ ---- - --- - - - (800) 267-03114= -- AIC No E t : (A/C. No 155 Montgomery Street ADDRESS: keaton.carlson@renewableguard.com Suite 507 INSURER(S) AFFORDING COVERAGE NAIC 9 - San Francisco CA 94104 INSURER A: Argenta Syndicate 2121 AA-1128121 INSURED Jua Capital LLC INSURER B - INSURER C . 1902 Wright Pi Ste 200 INSURER D : INSURER E: Carlsbad CA 92008 INSURER F : r%=V101V1'4 imU1Y1or-m; 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 TYPE OF INSURANCE INSD VWD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY MMIDD LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000,0()0 DAMAGE TO RMTITff_ PREMISES (Ea occurrence) $ 50,000 CLAIMS -MADE a OCCUR MED EXP (Any oneperson) $ 10.000 A PERSONAL&ADV INJURY S 11000,000 Y ALB2200000127 12/01/2022 12/0112023 GEN'L AGGREGATE LIMIT APPLIES PER: a GENERALAGGREGATE S 2.000.000 PRODUCTS - COMP/OP AGG S 2.000.000 POLICY JECT ❑ LOC OTHER: Deductible $ 2,500 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO Ea accident BODILY INJURY (Per Person} S A OWNED SCHEDULED AUTOS ONLY AUTOS AL82200000127 12/01/2022 12l0112023 BODILY INJURY Per accident) S HIRED NON-OYVNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ a X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 81000,000 A EXCESS LIAR CLAIMS -MADE ALB2200000127 12/01/2022 12/01/2023 AGGREGATE S 8,000,000 DED RETENTION S S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT S ANY PROPRIETORIPARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA (Mandatory 1n If yes, describe under er E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below Pollution Liability Each Occurence $1.000,000 A. ALB2200000127 12/01/2022 12/0112023 General Aggregate $1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Gilroy is hereby named as Additional Insured under the Commercial Liability policy(s) when required by written contract in accordance with the termstconditions/exclusions of the policy(s). P./�l1 T.r.w •-..w ..w. �-- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 , W 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: C63E5814-285A-4575-A3E6-F6A087B03266 Aft r At BUS COMMERCIAL GENERAL LIABILITY COVERAGE ADDITIONAL INSURED — BLANKET SCHEDULE Name of Additional Insured Person(s) Or Organization(s): Any person or organization where the Named Insured has agreed in a written contract or agreement to name as an additional Insured provided thatthe contract or agreement was executed priorto the loss or occurrence. 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 youracts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. 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 is added to Section I and 11 — 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. BROAD FORM NAMED INSURED ENDORSEMENT It is agreed that the polity Declarations page is amended as respects "Named Insured" to include: Any subsidiary corporations (including subsidiaries of them as well) which is owned by you or any partnership which you are engaged in at the Inception of this policy, provided you declared them to us prior to the Inception of this policy. A corporation will be deemed to be a subsidiary if at least 50.1% of the voting stock is owned by its parent corporation. Albus is a trading name of Castel underwriting Agencies Limited, (company no. 07774336). Incorporated in England and Wales, with our trading address situated at Ground Floor, 60 Great Tower Street, London EC3V W. Authorised and regulated by the Financial Conduct Authority. DocuSign Envelope ID: C63E5814-285A-4575-A3E6-F6A087B03266 -- - - WAIVER -OF TRANSFER 'OF' RIGHTS -OF'RECOVERY-AGAINST-"OTHERS-TO-US (WAIVER OF SUBROGATION) SCHEDULE Name of Person or Organization: Any Person or Organization against whom you have agreed to waive your right to recovery in a written contract or agreement provided such contract was executed priorto the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph S. Transferof Rights Of Recovery Against Others To Us of Section IV — Conditions: 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 "yourwork" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. PRIMARY AND NON -CONTRIBUTORY —OTHER INSURANCE CONDITION PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Non-contributory Insurance. This insurance is primary to and will not seek contribution from any other Insurance available to an additional insured under your policy provided that: A. The additional insured is a Named Insured under such other insurance; and B. 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. CROSS SUITS OF EXCLUSION REMOVAL This endorsement modifies insurance provided under the following: UMBRELLA COVERAGE. The following exclusion is removed from Section 6. Cross Suits of Exclusions: Any claim or suit brought by any Named Insured against any other Named Insured. Albus is a trading name of Castel Underwriting Agencies Limited, (company no. 07774336). Incorporated in England and Wales, with our trading address situated at Ground Floor, 60 Great Tower Sheet, London EC3V SAL Authorised and regulated by the Financial Conduct Authority.