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HomeMy WebLinkAboutINS CERT 2009-06-01ACORD TM CERTIFICATE OF LIABILITY INSURANCE Date(MM/DDNR) PRODUCER HEFFERNAN PROFESSIONAL PRACTICES License Number: 0564249 1855 W. Katella Avenue, Suite 255 Orange, CA 92867 INSURED ALTA PLANNING AND DESIGN, INC. 25609 1H STREET, SUITE 212 BERKELEY, CA 94710 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Co of Am 36161 INSURER B: Travelers Indemnity Company 25658 INSURER C: Travelers Indemnity Company of CT 05682 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH5TANDING ANY REQUIREMENT, TERM OR CONDITION OF 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 n^i Inl~cAnnoEnArc I IIIAITC Cun%A/Al RAAV uevG RCCAI RGrm Ira=n RV PAm r`I AIMc INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY 68021751_918 06/01/2009 06/01/2010 EACH OCCURRENCE $1,000,000 B X COMMERCIAL GENERAL LIABILITY 6806997M998 06/01/2009 06/01/2010 DAMAGE TO RENTED PREMISES Es. Occurrence) $300,000 CLAIMS MADE X OCCUR MED EXP (ANY ONE PERSON) $'55,000 PERSONAL s ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG) $2,000,000 POLICY PRO- JECT LOC A B AUTOMOBILE LIABILITY ANY AUTO 68021751_918 6806997M998 06/01/2009 06/01/2009 06/01/2010 06/01/2010 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS 1 (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS JUN 15 M (Per accident) PROPERTY DAMAGE $ (Per Accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO 8 `v.. ~ i3 S 1 . ^R OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UB7125Y672 09/01/2009 09/0112010 X WC STATU- TORY LIMITS OTH- ER C ANY PROPIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? EL DISEASE - POLICY LIMIT $1,000,000 If yes, describe under SPECIAL PROVISIONS below EL DISEASE - EA EMPLOYEE $1,000,000 OTHER RE: Share the Path Program Cert Holder is Named as Additional Insured with respect to the general liability policy (see attached endt.) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR T~ MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHA1 1 ITS AGENTS OR City of Tiburon INSURER, IMPOSS NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Attn: Diane Crane lacopi REPRESENTATWER. EXCEPT FOR CANCELLATION DUE TO NON-PAYMENT OF PREMIUM IN WHICH '5505 Tiburon BIVCI. CASE A 10 DAYS' NOTICE WILL BE GIVEN. Tiburon, CA 94920 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988 POLICY NO.: 68021751-918 / 6806997M998 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): CITY OF TIBURON PROJECT/LOCATION OF COVERED OPERATIONS: All Consulting Operations. PROVISIONS A. The following is added to WHO IS AN INSURED (Section II): stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. The person or organization shown in the Schedule above is an additional insured on this Coverage Part, but only with respect to liability for "bodily injury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing operations; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products-completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the rendering of or failure to render any "professional services". e. The limits of insurance afforded to the additional insured shall be the limits which you agreed in that "contract or agreement requiring insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that, for the additional insured shown in the Schedule, the insurance provided to that additional insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. CG D3 82 09 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. C. The following is added to Paragraph 8. D. The following definition is added to Transfer Of Rights Of Recovery Against DEFINITIONS (Section V): Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): "Contract or agreement requiring insurance" means that part of any contract or agreement We waive any rights of recovery we may have under which you are required to include the against the additional insured shown in the person or organization shown in the Schedule Schedule above because of payments we as an additional insured on this Coverage Part, make for "bodily injury", "property damage" or provided that the "bodily injury" and "property "personal injury" arising out of "your work" on damage" occurs, and the "personal injury" is or for the project, or at the location, shown in caused by an offense committed: the Schedule above, performed by you, or on your behalf, under a "contract or agreement a. After you have entered into that contract requiring insurance" with that additional or agreement; insured. We waive these rights only where you b. While that part of the contract or have agreed to do so as part of the "contract or agreement is in effect; and agreement requiring insurance" with that additional insured entered into by you before, c. Before the end of the policy period. and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. CG D3 82 09 07 © 2007 The Travelers Companies, Inc. Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission.