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HomeMy WebLinkAbout2010-11 Chamber of CommerceN&w-cj Ravr .101o- 20// ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/1DD10YYY0Y) PRODUCER (415) 788-9810 FAX: (415)248-3,534 ISU/San Francisco 201 California St., Suite 200 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. License # 0778092 San Francisco CA 94111-5098 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Belvedere-Tiburon Peninsula Chamber of INSURER B: P.O. BOX 563 INSURER C: INSURER D: Tiburon CA 94920 INSURER E: OVERAGES 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. AGGREGATE LIMITS SHOWN A N REDUCED Y PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER DATE YMM/DDTI) POLICY DATE MWDD TION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES a occurrence $ 300,000 A CLAIMS MADE a OCCUR X6607525B455TIL10 4/1/2010 4/1/2011 MED EXP An one person) $ 10,000 X Liquor Liability PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,0001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PELT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCURRENCE EACH $ OCCUR CLAIMS MADE AGGR A $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ' wAC TA ~T- OTRH- EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER . 6 6 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS - Certificate Holder, Its Agents, Officials, and Employees, is named as Additional Insured as respects to Liability as required by written contract only as pertains to Insureds operations as per Form GN 0188. Coverage is Primary b Non-Contributory as per Form CGD037. c+tK I Ir-u:A I t MULULK CANCELLATION (415) 435-2438 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Tiburon EXPIRATION DATE THEREOF, THE ISSUING INSURER' WILL ENDEAVOR TO MAIL Attn: Diane Crane Iacopi 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1505 Tiburon Boulevard FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Tiburon, CA 94920 AUTHORIZED REPRESENTATIVE Jason Cheung/JASONC ACORD 25 (2001/081 © ACORD CORPORATION 1998 INS025 (moa).oaa Pagel of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 26 (2001108) INS026 (=8).wa Page 2 of 2 POLICY NUMBER: X6607525B455TIL10 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 04- 01- 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CHARITY FIRST-AMENDMENT OF COVERAGE- WHO IS AN INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization (Additional Insured): Town of Tiburon 1505 Tiburon Boulevard Tiburon, CA 94920 Designation.Of Premises (Part Leased to You) WHO IS AN INSURED (Section II) is amended to include as an insured: A. Your members and volunteers but only with respect to their liability for your activities or ac- tivities they perform on your behalf; B. Your trustees or members of the board of gover- nors while acting within the scope of their duties as such on your behalf; and C. Person(s) or organization(s), whether or not shown in the Schedule above, but only with respect to their liability arising out of: 1. Their financial control over you; 2. Their requirements for certain performance placed upon you, as a non-profit organiza- tion, in consideration for funding or financial contributions you receive from them; 3. The ownership, maintenance or use of that part of a premises leased to you; or 4. "Your work" for that insured by or for you. As respects Part C.3. above, this insurance does not apply to: (a) Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organiza- tion(s); or (b) Any "occurrence" which takes place after you cease to be a tenant in that premises. GN 01 88 01 96 Copyright, Travelers Indemnity Company. Page 1 of 1 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: . COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), Paragraph 4. (Other Insurance), is amended as follows: 1. The following is added to Paragraph a. Primary Insurance: However, if you specifically agree in a written con- tract or written agreement that the insurance pro- vided to an additional insured under this Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insur- ance is primary to other insurance that is avail- able to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs; and b. The "personal injury" or "advertising injury" for which coverage is sought arises out of an of- fense committed subsequent to the signing and execution of that contract or agreement by you. 2. The first Subparagraph (2) of Paragraph b. Ex- cess Insurance regarding any other primary in- surance available to you is deleted. 3. The following is added to Paragraph b. Excess Insurance, as an additional subparagraph under Subparagraph (1): That is available to the insured when the insured is added as an additional insured under any other policy, including any umbrella or excess policy. CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1 Page 1 of 4 Diane Crane lacopi From: Jason Cheung Ocheung@isugroup.com] Sent: Wednesday, December 29, 2010 12:57 PM To: Ann Danforth Cc: Diane Crane lacopi Subject: RE: Tiburon Chamber of Commerce Insurance Attachments: CERT4 Town. pdf Hi Ann, Travelers has updated their Primary Endorsement and so I have attached a revised Certificate with updated Endorsements here. Please disregard the previous iterations. thanks and have a happy new year! -Jason Jason Cheung, CISR Commercial Lines Account Manager ISU Insurance Services 201 California Street, Suite 200 ( San Francisco, CA 94111-5098 Direct 415-623-5137 I Direct Fax 415-236-6491 I License # 0778092 jQheun-g@isuarour).com I www,isuaroup_com From: Jason Cheung Sent: Thursday, December 16, 2010 11:00 AM To: 'Ann Danforth' Cc: Diane Crane Iacopi Subject: RE: Tiburon Chamber of Commerce Insurance Hi Ann, Apologies for the confusion. Attached is the Certificate with the additional endorsement page stating coverage is Primary. thanks, Jason Jason Cheung, CISR Commercial Lines Account Manager ISU Insurance Services 201 California Street, Suite 200 ( San Francisco, CA 94111-5098 Direct 415-623-5137 I Direct Fax 415-236-6491 I License # 0778092 jcheung@isugrour) com I www.isu up-con From: Ann Danforth [mailto:ADanforth@ci.tiburon.ca.us] Sent: Thursday, December 16, 2010 10:55 AM To: Jason Cheung Cc: Diane Crane Iacopi 1/5/2011 Page 2 of 4 Subject: Tiburon Chamber of Commerce Insurance :Dear Mr. Cheung: I represent the Town of Tiburon and have been asked to review the insurance coverage provided by your company for events sponsored by the local Chamber of Commerce. Our Town Clerk, Diane Iacopi, forwarded to me the relevant certificate and endorsement. I note that although your transmittal email says that the coverage provided the Town is primary and non-contributory, this language does not appear in the actual endorsement. As you probably know, the Chamber occasionally requests permission to hold events on Town property. The Town is self-insured. Accordingly, As a condition of approval, we require that the Chamber extend primary and non-contributory insurance coverage to the Town to protect against any claims, losses, etc., that might arise from the Chamber's event. It may be that the existing insurance is adequate, but I cannot be sure from the attached documents. Would you be able to send me a more complete description of the coverage extended by the endorsement? For your information, please not that I will be out of office beginning tomorrow and returning on January 4th, so we may have to resolve this after the holidays. Thank you. for your assistance. Ann R. Danforth Town Attorney, Town of Tiburon adanfortb_~c~ci_ tihuron.ca.us Office: 415-435-7370 From: Jason Cheung [mailto:jcheung@isugroup.com] Sent: Thursday, December 16, 2010 9:20 AM To: Diane Crane Iacopi Cc: Georgia Kirchmaier; Christine Koehler Subject: RE: Good morning, and Happy Holidays! Hi Diane, Attached you will find the revised Certificate of Liability Insurance and newly issued Property Certificate showing property coverage, as per your request. If you need to be named as a Loss Payee, I will need a proper lease or rental contract stating such. Please note that the originally issued Additional Insured Endorsement is valid and names you as Additional Insured. The Chamber's coverage does include Liability for all of their operations, including the Friday Nights on Main and Festivals. We have recently added the skating event, but the Endorsement has not yet been issued. For the record, the Additional Insured Endorsement you have in hand is sufficient for your records. thank you, Jason Jason Cheung, CISR 1/5/2011 Page 3 of 4 Commercial Lines Account Manager ISU Insurance Services 201 California Street, Suite 200 San Francisco, CA 94111-5098 Direct 415-623-5137 1 Direct Fax 415-236-6491 1 License # 0778092 icheung(Wisugroup.com E www.isugroup.com From: Diane Crane Iacopi [mailto:DCrane@ci.tiburon.ca.us] Sent: Tuesday, December 07, 2010 1:55 PM To: Tiburon Chamber of Commerce Cc: Peggy Curran; Ann Danforth Subject: RE: Good morning, and Happy Holidays! Dear Georgia and Chris, This is a follow-up to our earlier a-mails about insurance for the ice skating rink, as well as for the Chamber's events throughout the year. First of all, let me apologize for the last-minute nature of the requests last week. You had already provided us with your basic insurance certificate but the addition of the ice skating rink required additional insurance. You were going to provide me a copy of the endorsement you received for the ice skating rink; I will still need that for our files. Upon further review of the Chamber's overall insurance certificate by our Town Attorney, it appears that we may need to obtain additional endorsements or insurance from you for the annual events staged on Town property, such as Friday Nights on Main, the Art Festival, and the Wine Festival. Our attorney has provided me with the following language, which you can forward to your broker • The insurance information should include an endorsement providing the Town, its agents, officials and employees, primary and non-contributory coverage for claims, losses, etc. arising from the exercise of the permit [for the above events]. The Town Attorney may ask for additional insurance depending on the nature of the event. • It must also state that the insurance covers the use of Town property by the Chamber. If you or your broker have any questions, please feel-free to contact Town Attorney, Ann Danforth, at 435-7370 (her e-mail is adanforth@ci.tiburon.ca.us). Thanks again for your help. Best for the Holidays, Diane Crane Iacopi Tiburon Town Clerk From: Diane Crane Iacopi Sent: Monday, December 06, 2010 11:34 AM To: Tiburon Chamber of Commerce' Subject: Good morning, and Happy Holidays! Hi, Chris, Hope the festivities went well on Friday night. The skating rink looked great-hope everyone had a great time. 1/5/2011 Page 4 of 4 When you have a chance, could you shoot me a copy of the additional endorsement you received for the skating rink? I need a copy for our file. Many thanks, Diane Crane lacopi Tiburon Town Clerk 1/5/2011