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HomeMy WebLinkAboutCertificate of Insurance (3)'`SLC"RE)r CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �•✓" 1/24/ --f:2020 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 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 Woodruff -Sawyer & Co. 50 California Street, Floor 12 San Francisco CA 94111 CONTACT PHONE A/C No Ext), 415-391-2141 FVC No : 415-989-9923 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # LIMITS INSURER A: Hartford Casualty Insurance Company 29424 X COMMERCIAL GENERAL LIABILITY INSURED BEARELE-01 Bear Electrical Solutions, Inc. INSURER B: Hartford Fire Insurance Company 19682 INSURER C: 1341 Archer Street Alviso CA 95002 INSURER D: INSURER E: INSURER F: "UrnOMM; 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y 57UEAFN9382 2/1/2020 2/1/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS -MADE � OCCUR PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Z D GENERAL AGGREGATE $2,000,000 PRODUCTS •COMP/OP AGG $ 2,000,000 POLICY JET LOC $ OTHER: A AUTOMOBILE LIABILITY 57UEAFNI9268 2./1/2020 2/1/2021 (Ea BINEDaccidpLiiSINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident A X UMBRELLALIABX OCCUR 57RHAFN9350 2/1/2020 2/1/2021 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $ _ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Traffic Signal Maintenance and Repair Services. The City of Los Altos Hills, Its officers, officials, employees, and volunteers are additional insured, wherein coverage is Primary and Non -Contributory. Policies contain a 30 day notice of cancellation and a 10 day notice of cancellation for non-payment of premium. City of Los Altos Hills 26379 Fremont Avenue Los Altos Hills CA 94022 ACORD 25 (2016/03) 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 Lo -I"a-Lu'l0 ACUKU cUW'URATION. All rights reserved. The ACORD name and logo are registered marks of ACORD with respect to duties as such. That 5. Additional Insureds When Required By representative will have all your rights and Written Contract, Written Agreement Or duties under this Coverage Part. Permit e. Unnamed Subsidiary The following pemon(s) ororgonizoUon(n)are en Any auboidiory, and subsidiary thanaut of additional insured when you have agreed, in a yours which is o legally incorporated entity of written oontraot, written agreement or because of which you own a financial interest of more apermit issued byestate orpolitical subdivision, than 50% ofthe voting stock onthe effective that such person ororganization beadded oeon date ofthe Coverage Part, additional insured on your policy, provided the The insurance afforded herein for any injury o/ damage uooum subsequent to the subsidiary not named in this Coverage part execution ofthe contract o,agreement, as o named insured does not apply to injury A Person or organization is on additional insured ordamage with respect towhich such insured under this provision only for that period oftime isalso anamed insured under another policy required bythe contract nragreement. or mmuN be a named insured under such Howover, no such person or organization in an policy but for its termination orthe exhaustion insured under this provision if such person or ofits limits ofinsurance. organization is included as an insured by an 8. Newly Acquired Or Formed Organization endorsement issued by us and made part of Any organization you newly acquire or form, this Coverage Part. other than o partnership, joint venture or limited o. Vendors liability company, and over which you maintain Anypemon(n) ororgan|zabmn(s) (referred to financial interest of more than 50Y6 of the voting below as vendur), but only with respect to mkock, will qualify as o Named Insured if there is "bodily injury" or "property damage" arising no other similar insurance available to that out nf"your products" which are distributed or organization. However: sold in the regular course of the vando/o a. Coverage under this provision ioafforded only business and only if this Coverage Pail until the 1801h day after you acquire or form provides coverage /or "bodily injury' or the organization or the end of the policy ^ProPndy damage" included within the period, whichever imearlier; ^ProducCo-uomp|etedoperations hazend" b' Coverage Adoes not apply to "bodily injury" (1) The insurance afforded the vendor is or "property damage" that occurred before subject to the following additional you acquired orformed the organization; and exclusions: c.Coverage Bdoes not apply 0u"personal and This insurance does not apply to: advertising injury" arising out of an offense (a) "Bodily injury' or"property damage" for committed before you acquired orformed the which the vendor is obligated to pay organization. damages by reason of the assumption 4. NommwnedWatmrcmmft of liability in a contract uragreement. With respect towatercraft you donot own that ie This exclusion does not apply to less than 51 feet long and is not being used to liability for damages that the vendor carry persons for o oharge, any person is an would have in the absence of the insured while operating such watercraft with your contract oragreement; permission. Any other person or organization (b) Any express warranty unauthorized by responsible for the conduct of such person is you; also an insured, but only with respect to liability (m) Any physical orchemical change inthe arising out o[the operation ofthe watercraft, and product made intentionally by the only Jnoother insurance ofany kind |mavailable vendor; hnthat person ororganization for this liability. (d) Repackaging, except when unpacked However, noperson ororganization iaaninsured solely for the purpose of inopeodon, with respect to: demonstration, testing, or the a' "Bodily injury" to a co -"employee" of the uubod\udnn of parts under instructions person operating the watercraft; ur from the manufacturer, and then b' "Property damage" to property owned by. repackaged inthe original container; rented to, inthe charge oforoccupied byyou (m)Any failure homake such inspections, or the employer of any person who is an md)uotmentm, tests or servicing as the insured under this provision. vendor has agreed 0umake ornormally Page 12 of 21 HG 00 0109 16 undertakes to make /n the usual course nfbusiness, inconnection with the distribution orsale ofthe products; U] Demonstration, |nstaUadon, servicing or repair wponaUono' except such operations performed at the vandoey premises inconnection with the sale of the product; (9) Pnodonio which, after distribution or sale by you, have been labeled or relabeled orused aaacontainer, part or ingredient cfany other thing or substance byorfor the vendor; or (h) "Bodily injury' or "property damage" arising out ofthe sole negligence ofthe vendor for its own mots or omissions or those of its employees or anyone e|mn acting on its behalf. However, this exclusion does not apply to: (I) The exceptions contained in Sub- paragraphs (d) or (fl; or (ii) Such inspections, mdjuatments, tests urservicing aethe vendor has agreed to make or normally undertakes to make in the usual course of buain000, in connection with the distribution or sale of the products. (2) This |naununoa duoe not apply to any insured person or oq7anbaUon, from whom you have acquired such pmduob, or any ingredioni, part or container, entering into, accompanying urcontaining such products. b. Lessors QYEquipment (1) Any person(s) or organization(s) from whom you |aoma equipment; butonly with respect to their liability for "bodily irjury", 11 property omnoger or "personal and advertising injury" oauaed, in whole or in part, by your maintenance, operation or use ofequipment leased bo you by such pensun(u)ororganization (n). (2) With respect to the insurance afforded to these additional insureds this insurance duaa not apply to any "occurrence" which takes place after the equipment lease expires, c' Lessors Of Land Or Premises Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. With respect tothe insurance afforded these additional insureds the following additional exclusions apply: HG 00 01 09 16 This insurance does not apply to: 1. Any "ocounence"which takes place after you cease 10lease that land; cv 2. Structural alterations, new construction or demolition operations performed byoron behalf mfsuch person ororganization. 6. Architeuts, Engineers OnSurveyors Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", oproperty damage" or "personal and advertising injury" caused, inwhole or/n ped, by your acts or omissions or the ado or omissions cfthose acting onyour behalf: (1) |nconnection with your premises; or (Q) In the pedbnnmnoe of your ongoing operations performed by you or on your behalf. With respect tothe insurance afforded these additional }naune6m the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the tei|una to render any professional services byorfor you, including: 1. The preparing, approving, or failing to prepare or approve, mapm, shop drawings, opiniona, reports, aunmyo' field orders, change orders or drawings and specifications; or 2, 8upom/aorA inopontion, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property demoQe", or the offense which caused the " personal and advertising injury", involved the rendering of or the failure to render any professional services byorfor you. e' Permits Issued By State Or Political Subdivisions Any state orpolitical subdivision, but only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. With respect Uuthe insurance afforded these additional insureds, this insurance duon not apply to: (1) "Bodily injury". "property damage" o, "personal and advertising injury" arising out ofoperations performed for the state or municipality; or Page 13m{31 (2) 'Bodily injury" or "property damage" included within the "products -completed operations hazard". f. Any Cather Party Any other person or organization who is not an additional insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In the performance of your ongoing operations; (2) In connection with your premises owned by or rented to you; or (3) In connection with "your work" and included within the "products -completed operations hazard", but only if (a) The written contract or agreement requires you to provide such coverage to such additional insured; and (b) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products - completed operations hazard". 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. With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury" "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional services by or for you. The limits of insurance that apply to additional insureds is described in Section III — Limits Of Insurance. How this Insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition in Section IV — Commercial General Liability Conditions. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. 1. The Most We Will Pay The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or Persons or organizations making claims or bringing "suits". 2. General Aggregate Limit The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard"; and c. Damages under Coverage G. 3. Products -Completed Operations Aggregate Limit The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included In the "products - completed operations hazard". 4. Personal And Advertising Injury Limit Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage E for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Each Occurrence Limit Subject to 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and Page 14 of 21 HG 00 01 09 16 primarily to provide mobility to permanently e. Oral, written or electronic publication, in any attached equipment of the following types: manner, of material that violates a person's (1) Air compressors, pumps and generators, right of privacy; including spraying, welding, building f. Copying, in your "advertisement", a person's cleaning, geophysical exploration, lighting or organization's "advertising idea" or style of and well servicing equipment; or "advertisement"; or (2) Cherry pickers and similar devices used to g. Infringement of copyright, slogan, or title of raise or lower workers; any literary or artistic work, in your f. Vehicles not described in a., b., c, or d. above "advertisement". maintained primarily for purposes other than 10. "Pollutants" mean any solid, liquid, gaseous or the transportation of persons or cargo. thermal irritant or contaminant, including smoke, However, self-propelled vehicles with the vapor, soot, fumes, acids, alkalis, chemicals and following types of permanently attached waste. Waste includes materials to be recycled, equipment are not "mobile equipment" but will reconditioned or reclaimed. be considered "autos": 19. "Products -completed operations hazard": (1) Equipment designed primarily for: a. Includes all "bodily injury" and "property (a) Snow removal; damage" occurring away from premises you (b) Road maintenance, but not own or rent and arising out of "your product" construction or resurfacing; or or "your work" except: (c) Street cleaning; (1) Products that are still in your physical (2) Cherry pickers and similar devices possession; or (2) Work that has not yet been completed or mounted on automobile or truck chassis and used to raise or lower workers; and abandoned. However, "your work" will be deemed completed at the earliest of the (3) Air compressors, pumps and generators, following times: including spraying, welding, building cleaning, geophysical exploration, lighting (a) When all of the work called for in your and well servicing equipment. contract has been completed. However, "mobile equipment" does not include (b) When all of the work to be done at the any land vehicle that is subject to a compulsory job site has been completed if your or financial responsibility law or other motor contract calls for work at more than vehicle insurance law where it is licensed or one job site. principally garaged. Land vehicles subject to a (c) When that part of the work done at a compulsory or financial responsibility law or other job site has been put to its intended motor vehicle insurance law are considered use by any person or organization "autos". other than another contractor or 16. "Occurrence" means an accident, including subcontractor working on the same continuous or repeated exposure to substantially project. the same general harmful conditions. Work that may need service, 17."Personal and advertising injury means maintenance, correction, repair or injury, including consequential "bodily injury", replacement, but which is otherwise complete, will be treated as completed. arising out of one or more of the following offenses: b. Does not include "bodily injury" or "property a. False arrest, detention or imprisonment; damage" arising out of: b. Malicious prosecution; (1) The transportation of property, unless the injury or damage arises out of a condition c. The wrongful eviction from, wrongful entry in or on a vehicle not owned or operated into, or invasion of the right of private by you, and that condition was created by occupancy of a room, dwelling or premises the "loading or unloading" of that vehicle that a person or organization occupies, by any insured; committed by or on behalf of its owner, landlord or lessor; (2) The existence of tools, uninstalled d. Oral, written or electronic publication, in any equipment or abandoned or unused materials; or manner, of material that slanders or libels a (3) Products or operations for which the person or organization or disparages a persons or organizations goods, products or classification, listed in the Declarations or services; in a policy Schedule, states that products - Page 20 of 21 HC 00 01 09 16 completed operations are subject to the General Aggregate Limit. 20."Property damage" means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; or b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the "occurrence" that caused it. As used in this definition, computerized or electronically stored data, programs or software are not tangible property. Electronic data means information, facts or programs: a. Stored as or on; b. Created or used on; or c. Transmitted to or from; computer software, including systems and applications software, hard or floppy disks, CD- ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. 21."Suit" means a civil proceeding in which damages because of "bodily injury", "property damage" or "personal and advertising injury" to which this insurance applies are alleged. "Suit" includes: a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent; or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. 22. "Temporary worker" means a person who is furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or short-term workload conditions. 23. "Volunteer worker" means a person who a. Is not your "employee"; b. Donates his or her work; c. Acts at the direction of and within the scope of duties determined by you; and d. Is not paid a fee, salary or other compensation by you or anyone else for their work performed for you. 24. "Your product": a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by: (a) You; (b) Others trading under your name; or (c) A person or organization whose business or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment furnished in cohnection with such goods or products. b. Includes (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your product'; and (2) The providing of or failure to provide warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. 25. "Your work": a. Means: (1) Work or operations performed by you or on your behalf; and (2) Materials, parts or equipment furnished in connection with such work or operations. b. Includes (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work", and (2) The providing of or failure to provide warnings or instructions. FIG 00 01 09 16 Page 21 of 21 Policy No. 57UEAFN9382 (3) Any manager, if you or the additional insured is a limited liability company; (4) Any "executive officer" or insurance manager, if you or the additional insured is a corporation; (5) Any trustee, if you or the additional insured is a trust; or (6) Any elected or appointed official, if you or the additional insured is a political subdivision or public entity. This duty applies separately to you and any additional insured. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (2) Premises Rented To You That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g, of Section I - Coverage A - Bodily Injury And Property Damage Liability; (5) Property Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage Liability; (6) When You Are Added As An Additional Insured To Other Insurance Any other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or (7) When You Add Others As An Additional Insured To This Insurance Any other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this coverage part. (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. (b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement, or permit that this insurance is primary and non- contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Page 16 of 21 HG 00 01 09 16