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HomeMy WebLinkAbout2011-06-01 (Alta Planning)A CORD CERTIFICATE D R) OF LIABILITY INSURANCE Date D TM O O PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HEFFERNAN PROFESSIONAL PRACTICES rti [I F~ 0 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND EXTEND R v . License Number: 0564249 , HOLDER. O ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1855 W. Katella Avenue, Suite 255 Orange, CA 92867 k-= r 8 2010 INSURERS AFFORDING COVERAGE NAIC # INSURED _ INSURER A: Travelers Property Co 36161 Alta Planning and Design, Inc. : c,. I - z / INSURER B: Travelers Indemnity Company 25658 ? Is J 711 S E Grand Ave C B A i I C O 20621 . . . INSURER : ne eacon mer ns o ca Portland, OR 97214 1° - 1 INSURER D: Continental Casualty Co 20443 l INSURER E: COVERAGES 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 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 /q X COMMERCIAL GENERAL LIABILITY 6800666P70A 06/01/10 06/01/11 DAMAGE TO RENTED PREMISES (Es. Occurrence $1,000,000 B CLAIMS MADE X OCCUR 6800653P383 06/01/10 06/01/11 MED EXP (ANY ONE PERSON) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG) $2,000,000 F-] POLICY F X RO JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $Included in GL ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A X HIRED AUTOS 6800666P70A 06/01/10 06/01/11 BODILY INJURY $ B X NON-OWNED AUTOS 6800653P383 06/01/10 06/01/11 (Per accident) PROPERTY DAMAGE $ (Per Accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO NO Coverage OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 A x X OCCUR F-1 CLAIMS MADE CUP3324T848 06/01/10 06/01/11 AGGREGATE $1,000,000 DEDUCTIBLE $ X RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X WC STATU- TORY LIMITS OTH- ER C ANY PROPIETOR/PARTNER/EXECUTIVE 406035862 09/01/10 09/01/11 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 D OTHER Pmfe s" Liability MCH114135257 10/17/10 10/17/11 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Projects as on file with the insured including but not limited to Share the Path Program. City of Tiburon is named as additional insured on general liability policy-see attached endorsement. CERTIFICATE HOLDER CANCELLATION 110 days notice for non-payment of premium. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL iNDGAVOR-TO MAIL 30' DAYS WRITTEN City of Tiburon NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Diane Crane Iacopi 1505 Tiburon Blvd. AUTHORIZED REPRESENTATIVE Tiburon, CA 94920 . ACORD 25 (2001/08) ©ACORD CORPORATION 1988 POLICY NO.: 6800666P70A / 6800653P383 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to include as 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 on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this Coverage Part. e. This insurance does not apply to the rendering of or failure to render any "professional services". 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 stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. 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 the insurance provided to an 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". 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 insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. injury" or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal injury" is caused by an offense committed: a. After you have entered into that contract or . agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 81 09 07 © 2007 The Travelers Companies, Inc.. Wage 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission.