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HomeMy WebLinkAboutCOI - Ghirardelli Associates, Inc. - Expires 2024-11-15DATE (MM/DD/YYYY) 11/15/2023 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 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). CONTACT Amanda Barton NAME: _- PHONE A/CC, No, Ext): (925) 609-6513 FAX No): (951) 231-2572 a* 35289 20427 20478 20443 U z E C.)) f6 INSURER(S) AFFORDING COVERAGE INSURER A: The Continental Insurance Company INSURER B: American Casualty Co of Reading PA INSURER C: National Fire Insurance Company of Hartford INSURER D : Continental Casualty Company INSURER F : '4� REY CERTIFICATE OF LIABILITY INSURANCE 0 co x L C aa\ U J 0. C) V .. N W a J1.1 a g a V> W1 Z PRODUCER License # 0757776 HUB International Insurance Services Inc. 3000 Executive Parkway Suite 300 San Ramon, CA 94583 INSURED Ghirardelli Associates, Inc. 2055 Gateway Place, Suite 470 San Jose, CA 95110 62 W 2 z z 0 W 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. H S J 0 0 0 0 O O r 0 0 0 O 0 O 0 r N 15,0001 0 0 0 0 0 O r N 0 0 0 0 O O N 69 0 0 0 0 O O N 0 V) 0 0 0 0 O O r E9 0 f9 0 0 O 0 0 0 O O O r 0 0 0 0 0 O 0 O ,- Vj N 0 0 0 0 O O r 0 0 0 0 0 O O r 69 0 0 0 0 0 0 r 0 5,000,000 150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Inspection and Labor Compliance Services for FY21 Citywide Pavement Project (GAI Project #19028). City of Gilroy, its officers, officials and employees as Additional Insured as respects General Liability and Auto Liability per attached forms CG2010 1219 and CA2048 1013. Professional Liability Retroactive Date: Full Prior Acts EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL i£ ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG I COMBINED SINGLE LIMIT (Ea accident) J BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE _I W a (9 X PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE EL. DISEASE- POLICY LIMIT Per Claim &Aggregate Deductible 00 Je aT N 0 11) Y N 0 N Y Y N <- Y Y 6/1/2024 6/1/2024 6/1/2024 POLICY EFF (MM/DD/YYYY) N N N r r N N In r r r, N N 10 r N 0 CD tD 6/1/2023 6/1/2023 POLICY NUMBER 6075689503 6075689498 6075689517 WC 7 33849267 AEH288376164 AEH288376164 co oZ a_ X X TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Ded: 0 0 POLICY X PECOT- LOC OTHER: r ¢ SCHEDULED AUTOS NON -OWNED AUTOS ONLY OCCUR CLAIMS -MADE DED I X RE I ENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below PROFESSIONAL LIAB PROFESSIONAL LIAB X UMBRELLA LIAB EXCESS LIAB OWNED AUTOS ONLY HIRED AUTOS ONLY Ded: 0 X X X X X z- at (1) Q 0 ❑ ❑ LL C: ce u. 0 CO WJ J W W L] U z W am U W y W Cj W U V7 o'z �zy LU m LL> o°� ow w w >- O 0 w �' J • 0 Ca • W aax w O 1- FS Z 1. oi? �1'W a� O W LU o 0)Ia CERTIFICATE © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03) CNA PARAMOUNT c U.0 ® 2 (11 00 C3 L ® U al us (10 C L 5 C CO ®', a) Ss 0 .a This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART 6075689503 co 0 C N mCm C.) H H rn a W g r ' H U O N U) • j • H H H rtS H rn NE r � N r- N Qooz or U 3 U O_ EH 966E£096999L09£0000Z006 IIIIIII I 11 IIIIIII I ''IIIIIII 11111 CNA PARAMOUNT Location(s) Of Covered Operations INSPECTION AND LABOR COMPLIANCE SERVICES FOR FY 21 CITYWIDE PAVEMENT PROJECT II 0 0 N C (�6 O E o 'a O O. U 0 O. C CO 6 C C 0 C S O'— O = >, 'O ro o c0 co L C 0 0— ro �= c o c c '— o O O .a U..Q en co N a) 0_ C N ro O U N 0.0 Your acts or omissions; or The acts or omissions of those acting on your behalf; 0 CO .O CO C 0) •C 4) a C 0 U 0 Q) CO Q) CO C CO C 0 ro 0 O s_ N .a O ro 0 N q) 0. > c 3 ..c 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 0 O C "Oa) 0 0 co N 0) U ro ro o 'O U O ro C L, C 0 o C N O 0 ,0 Cr) D (0 O � U 2 2 co 0 O ro °� .0 U ro (0o ro y_ L C O •� O C N O a CO — 0 0 CD CO'a CO ..0 O C a) 0)-0— CZ 5 co o U O Q N N 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: St 0 CZ O +- co CC .0 C E so a) O O O O U c I 0 o a a) 'C 0'00 o C Q' 0.4 00) o — c° • E aoi a) C� .co 0 � 0 'O ' Y L) O N cn O O C C . 0.• N U Co C'D C a) C u O N 0 a)c'a CO o) C E E. CO a)ro -C L O i) O N O o 0) :P 'C N U ro U () (Ln Q) 0 N O i _ C - alC U 0 ro 0 °U vi 2 � .0 E ) w o 0 -0 C ro L a)0o 'O 0 C ..0 S_ L L .Q �) o 0 0 a -c c°o j a 2.-- C U) ;C C `a 0• Eo -o 0 QN L c U co L . `O O ... i" o (A U ) CO C o' fl.a U' N c 0 N C O U O O CO CO CO C 0 o Q - C'E a 0- 0.. 'C °a)E l °o vv �o� fa -a L L .Q O O a) 'o 0 room 30- ro tea) O) U C O N° O c ro c co o >, -c co c a =0 p co 0. -o L al UJ N C E o 00 c 0 2 C +) a. ( O U N Q. CO Q- o. V O ro C CO C co L. co -O 2 v°i 8 I— 0. 0_ , > ro 17' U) 0 a) 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. 6075689503 H H ASSOCIATES, H w H rtS H 0 CD `- 0 0 N 'H E r N u ro 0 o a Z U U a. E-i Copyright Insurance Services Office, Inc., 2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM � / 5 \ : s , > 5 y \ a co= a) 0 -0 \ \ \ 4. a) \ = 2 E 7 > \ 0 / / o - / % \ I-- \ / § E o o ( o 0 co o \ \ \ n ( o a) \/ \ ƒ- / \ •-0 \ / ° / c 0 \ / '> c ° / a \ / o=( ) 7/7 o = m = = \ /-/ o' a<> / \ E .\ 2 2/\_c± E 0 a) n > \ 2 = •- / \�-EE \\ 2(a / a oe m 0 /k 22/ 2$ Q o , e n = e § > \ §,g \ / / / o / H. 11 Named Insured: GHIRARDELLI ASSOCIATES, INC. Endorsement Effective Date: 11 /15/2023 SCHEDULE Name Of Persons) Or Organization(s): CITY OF GILROY Information required to complete this Schedule, if not shown above, will be shown in the Declarations. \\\ . CO \/kE \\ ==ea /\Q _ _ . m [.-1 //% >\\7 CO )<a }/\ \\> 32)4 //° //}/ < <\// \ t .g > 0 et) Q e % \\\\ \ �• \ c m © )� \ > / 2 \. \•e\G _ < 0 e t$ .{ a >w = c 0 0 /I ƒ/_Cl E a o \ o \ e o v) / c % 2 §2JC •— eRI a < 'E E ==n\ b± o c n = 0 _ 4- o {•- > \ /\//\ a 0 .e m n g / ± • L > (00O3 0 0 / / Form No: CA 20 48 10 13 Endorsement Effective Date Casualty Company Of R © Copyright Insurance Services Office, Inc., 2011