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HomeMy WebLinkAboutCertificate of Insurance 2018AC®RO®CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/27/2018 -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES rsELOW. 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 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 Phone: (707) 469-6776 Fax: (707) 469-8072 ECLIPSE MARKETING & INSURANCE SERVICES CONTACT S Ecll NAME: Eclipse Marketing &Insurance Services PHONE A c No Ext 707 469-6776 Ne (707) 469-8072 P O BOX 6480 VACAVILLE CA 95696 ADDRESS: 1,000,000 INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURERA : Philadelphia Indemnity Ins. Co. INSURED ALL GUARD ALARM SYSTEMS, INC. INSURER : Everest Premier Ins. Co. AG SECURITY SERVICES, INC. $ 1306 STEALTH STREET INSURER D: LIVERMORE CA 94551 IN E GENT AGGREGATE LIMIT APPLIES PER: INSURER F COVERAGER L`CDrICIY`Arc K11Ieaoce. n���. PRO- ❑ LOC KtvI51UN 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED RESPECT HEREIN IS SUBJECT TO TO WHICH THIS ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD NA/D POLICY NUMBER MM/OD/YYYY MM/DD LIMITS A X COMMERCIAL CLAIMS MADE AL LIABILITY PHPK1886024 10/01/18 10/01/19 CLAIMS -MADE IX] OCCUR EACH OCCURRENCE $ 1,000,000 X Errors &Omissions DAMAGE TO RENTED PREMISES (Ea occurence) $ 100,000 MED. EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO- ❑ LOC GENERAL AGGREGATE $ 3,000,000 HPOLICY JECT PRODUCTS - COMP/OP AGG $ 3,000,000 OTHER: A AUTOMOBILE LIABILITY PHPK1886024 10/01/18 10/01/19 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ (per accident) A X UMBRELLA LIAR X OCCUR PHUB648677 10/01/18 10/01/19 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 5300003577-181 10/01/18 10/01/19 X PER 0TH - STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? El N/A E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER POLICY WORDING RE: Project: Maintenance Yard Building 27400 Purissuma RD Los Altos Hills, CA CERTIFICATE Idnl nFR Tow of Los Altos Hills 26379 Fremont Road Los Altos Hills CA 94022 Attention: UANI,CLL.A I JUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ACORD 25 (2014/01) ©1988-2014 ACORD CORPORA The ACORD name and logo are registered marks of ACORD Laila Porreca )N. All rights reserved. POLICY NUMBER: PHPK1886024 PI -GL -005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY NON-CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 10/01/18 Name of Person or Organization (Additional Insured): Blanket where required by written contract SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured. The Additional Insured's limits of insurance do not increase our limits of insurance, as described in SECTION III — LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.