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HomeMy WebLinkAboutCOI - Robinson & Moretti, Inc. - Expires 2024-12-09 (3)AC®RL3® CERTIFICATE OF LIABILITY INSURANCE `,,....----- DATE(MM/DD/YYYY) 12/06/2023 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). PRODUCER James G. Parker Insurance License #0554959 P O Box 3947 Fresno CA kild 93650 CONTACT Nichole Fisher CISR NAME: PHONE Eat): (559) 222-7722 AC, No): (559) 222-1724 E-MAIL nfisher@jgparker.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Crum & Forster Specialty Ins 44520 INSURED Robinson & Moretti Inc 7780 Holsclaw Rd Gilroy CA 95020 INSURER B : Oregon Mutual Ins Co 14907 INSURER C: Navigators Specialty Insurance Co 36056 INSURER D: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 23-24 GL BA IM UMB REVISION NUMBER: 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 POLIC ES 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 A INSD WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y •GL0102072 12/09/2023 12/09/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 50000 $ , MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE - $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 Policy Aggregate Cap $ 5,000,000 B AUTOMOBILE X /� LIABILITY ANYAUTO OWNED AUTOS ONLY HIRED AUTOS ONLY X SCHEDULED AUTOS NON -OWNED AUTOS ONLY Y CM01923559 12/09/2023 12/09/2024 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ C X UMBRELLA.LIAB EXCESS LIAR X OCCUR CLAIMS -MADE SE23EXC8280091C 12/09/2023 12/09/2024 EACH OCCURRENCE 4,000,000 AGGREGATE $ 4,000,000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER STATUTE OTH- ER E,L,EACH ACCIDENT $ E.L, DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ B Rented/Leased Equipment Scheduled Equlment CM01923559 12/09/2023 12/09/2024 $1,000 Deductible $1,000 Deductible $200,000 Per Schedule DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Gilroy, its elected officials, officers and employees acting within the scope of their duties that are controlled and supervised by the primary (first) additional insured are named as Additional Insured as per form CG2010 1219 and M2855A 0819 attached. CERTIFICATE HOLDER CANCELLATION City of Gilroy Public Works Dept Water 7351 Rosanna Street Gilroy 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 CA 95020 ACORD 25 (2016/03) © 1988-2015ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy No. GLO 102072 Exp: 12/09/2023-12/09/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY CG20101219 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 City of Gilroy, its officers, officials, and employees 7351 Rosanna St., Gilroy, CA 95020 Locations and operations covered under this policy when required by written contract signed prior to the "bodily injury", "property damage" or "personal and advertising injury" 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. 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 CG20101219 Insurance Services Office, Inc., 2018 Page 1 of 2 CMO CAO 5021923559 ROBINSON & MORETTI INC EFFECTIVE: 12/09/2023 PROCESSED: 11/03/2023 OREGON MUTUAL INSURANCE COMPANY COMMERCIAL AUTO CLUSTER ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM M2855A (8-19) With respect to coverage provided by this endorsement, the provisions of the Business Auto Coverage Form apply unless modified by this endorsement. COVERAGE SUMMARY This is a summary of the coverages provided by this endorsement. 1. Bail Bonds 1 2. Broadened Pollution 1 3. Business Property of Others 1 4. Employees as Insureds, Other Than Retail Delivery 1 5. Glass Repair Deductible Waiver 1 6. Hired Auto Loss of Use 1 7. Hired Auto Physical Damage 1 8. Loan Lease Gap 2 9. Personal Effects 2 10. Rental Reimbursement 2 11. Towing 2 12. Additional Insured by Contract orAgreement2 13. Waiver of Subrogation by Contract or Agreement 3 1. Bail Bonds Section II a- Liability Coverage, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments, Paragraph (2) is replaced with the following: (2) Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. 2. Broadened Pollution The following is added to Section II — Liability Coverage, B. Exclusions,11. Pollution: Paragraphs a. and b. above do not apply to "accidents" that occur away from premises owned by or rented to an "insured" with respect to "pollutants" carried in or upon a covered "auto" up to the first $1,000 of damage for any one "accident". 3. Business Property of Others The following is added to Section II — Liability Coverage, B. Exclusions, 6. Care, Custody or Control: This exclusion does not apply to "property damage" to property of others up to an amount not exceeding $1,000 in any one "accident". Coverage is excess over any other valid and collectible insurance. 4. Employees as Insureds, Other Than Retail Delivery The following is added to Section II Liability Coverage, A. Coverage, 1. Who Is An Insured: An "employee" of yours is an "insured" while using a covered "auto" you do not own, hire or borrow in your business or your personal affairs. However, this paragraph does not apply to "auto" used for retail delivery. 5. Glass Repair Deductible Waiver The following is added to Section III — Physical Damage Coverage, A. Coverage, 3. a. Glass breakage: No deductible applies if glass damage is repaired rather than replaced. 6. Hired Auto Loss of Use Section III Physical Damage Coverage, A. Coverage, 4. Coverage Extensions, b. Loss Of Use Expenses, the last sentence is replaced with: However, the most we will pay for any expenses for loss of use is $75 per day, to a maximum of $1,000. 7. Hired Auto Physical Damage The following is added to Section III Physical Damage Coverage, A. Coverage, 4. Coverage Extensions: Hired Auto Physical Damage If a Covered Auto Designation Symbol 1 or 8 applies to Liability Coverage, and if at least one covered "auto" you own is covered for Comprehensive or Specified Causes of Loss and Collision coverage, then the physical damage coverage provided extends to those "autos" you lease, hire, rent or borrow. This does not include any "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. The deductible will be equal to the highest deductible applicable to covered "autos" you own. Includes copyrighted material of Insurance Services Office, Inc., with its permission M2855A (8-19) Page 1 of 3 190321. FRM 2. The Limits of Insurance shown in the Declarations. This provision shall not increase the Limit of Insurance shown in the Declarations in this policy or coverage part. C. The following change is made to Section II Liability Coverage, A. Coverage, 1. Who is An Insured: Paragraph 1.c. is deleted in its entirety. D. The following changes are made to Section IV Business Auto Conditions, B. General Conditions, Paragraph 5. Other Insurance: 1. The following is added to Paragraph If required by the written contract or agreement described above, the insurance afforded to the additional "insured" under this provision will be primary to, and will not seek contribution from, the additional "insured's" own insurance. 2. Paragraph 5.c. is deleted in its entirety. E. Section V — Definitions, "insured contract" is amended to add the following: An "insured contract" does not include that part of any contract or agreement: That pertains to the ownership, maintenance or use of an "auto" and which indemnifies a person or organization for other than the vicarious liability of such person or organization for "bodily injury" or "property damage" caused by your operation or use of a covered "auto". However, a person or organization is an additional "insured" under this provision only to the extent such person or organization is not named as an "insured" by separate endorsement to this policy. 13. Waiver of Subrogation by Contract or Agreement The following is added to Section IV ®- Business Auto Conditions, A. Loss Conditions, Paragraph 5. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we have against a person or organization because of payments we make for "bodily injury" or "property damage" when you and such person or organization have agreed in writing in a contract or agreement to waive such right of recovery, provided: 1. Such written contract or agreement was: a. Made prior to the "accident" or "loss" resulting in the covered "bodily injury" or "property damage"; and b. Was in effect at the time of the covered "bodily injury" or "property damage". 2. The covered "bodily injury" or "property damage" must arise out of the operations specified in such written contract or agreement. 3. At our request you must provide us with a copy of the aforementioned written contract or agreement. Additional Definitions The following Paragraphs are added to Section V Definitions: Q. "Personal effects" means your tangible property that is worn or carried by you, except tools, jewelry, money or securities. R. "Outstanding balance" means the amount you owe on the lease or loan at the time of the "loss" less any overdue lease/loan payments, security deposits not returned by the lessor, costs for extended warranties or insurance purchased with the loan or lease, or carry-over balances from previous loans or leases. Includes copyrighted material of Insurance Services Office, Inc., with its permission M2855A (8-19) Page 3 of 3 190323.FRM