Loading...
HomeMy WebLinkAboutCertificate of InsuranceACC)RV' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 09/27/2019 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(les) 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 CONTACT Eclipse Marketing & Insurance Services ECLIPSE MARKETING & INSURANCE SERVICES PHONE FAX A/C No Ext: 707 469.6776 AC No: (707) 469-8072 P O BOX 6480 E-MAIL ADDRESS: VACAVILLE CA 95696 INSURER(S) AFFORDING COVERAGE NAIC # EACH OCCURRENCE $ 1,000,000 INSURERA : Philadelphia Indemnity Ins. Co. Agency LIC#:OD60747 INSURED ALL GUARD ALARM SYSTEMS, INC. INSURER : Everest Premier Ins. Co. INSURER AG SECURITY SERVICES, INC. 1306 STEALTH STREET INSURER D: LIVERMORE CA 94551 INSURER E INSURER F COVERAGES CF_RTIFICATF Nt1MRFR- 1nA770 RFVISIf1N NIIMRFR- 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 TYPE OF INSURANCE ANSD DDL UBR BWVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY PHPK2040987 10/01/19 10/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEOCCUR DAMAGE TO RENTED _PREM ISES(Ea occurence) $ 100,000 X Errors & Omissions MED. EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO. POLICY F] JECT F—] LOC GENERAL AGGREGATE $ 3,000,000 - PRODUCTS -CO MP/OP AGG $ 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY PHPK2040987 10/01/19 10/01/20 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOSX NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY Per accident $ ( ) PROPERTY DAMAGE (per accident) $ A X UMBRELLA LIAR X OCCUR PHUB694602 10/01/19 10/01/20 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N / A - ERPSTATUTE TI I ERH E.L. EACH ACCIDENT_ $ 1,000,00_0_ E.L. DISEASE -EA EMPLOYEE $ 1, 000,000 If DESCRIPTION OF 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 HOLDER CANCELLATION Tow of Los Altos Hills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 26379 Fremont Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Los Altos Hills CA 94022 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention:' Laila Porreca ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POL NO PHPK2040987 PI -GL -005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 10/01/2019 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.