Loading...
2017/11/15 A Good Plumbing, Inc. Certificate of Liability Insurances AGOODPL-01 MCARRIER CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYW) 10/03/2018 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(ies)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 CONTACT Leaders Choice Insurance Services Inc. PHONE FAX 700 E Street (A/C,No,Ext):(866)211-2123_ __ _(A1C No).(866)913-7036 Cit E-MAIL infoleaderschoiceins.com Sacramento,CA 95814 y Of Menifee ADDRESS: @/� City Clerk INSURERS]AFFORDING COVERAGE NAIC INSURER A:Navigators Specialty Insurance Company _ INSURED 2018 INSURER B:Trumbull Insurance Company __ 1�27120 A GOOD PLUMBING INC INSURER C:Trisura Specialty Insurance Com_pan ___16188 26157 Jefferson Avenue INSURER D:Falls Lake Fire&Casualty Company I15884 Murrieta,CA 92562 Received INSURER E:Ohio Security Insurance Company i24082 _ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN D.WVD POLICY NUMBER M DD MM DD i LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR SF18CGL2581821C 10/07/2018 10/07/2019 DAMAGE TO RENTED 100,000 X PREMISES(Ea occurrence) $ CD EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- I LOC 2,000,000 __. JECT PRODUCTS-COMP/OP AGG $ _ OTHER: Is COMBINED SINGLE LIMIT B AUTOMOBILE LIABILITY (Ea accident) I $ 1,000,000 x ANY AUTO 57UECFN1465 03/08/2018 03/08/2019 BODILY INJURY Per ep rson) S I� OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident S AUTOS ONLY AUUTOS ONLDY PerracctlentDAMAGE S XComp ded$500 X Collision ded$1000 S C UMBRELLA LIAB I X OCCUR E:CH OCCURRENCE $ 5,000,000 X EXCESS LIAB Fl CLAIMS-MADE TXS 0001203-00 10/07/2018 10/07/2019 AGGREGATE $ 5,000,000 DED I li RETENTION$ I I $ D WORKERS COMPENSATION X I STATUTE �ORH_ AND EMPLOYERS'LIABILITY Y/N �FLA009942-00 08/29/2018 08/29/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT ._S_ _ �OFFICER/MEMBER EXCLUDED? i Y N I A � -- �--- -- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S E ;Property I �BKS55811771 11/15/2017 11/15/2018 Deduct$1,000 10,927 E ;Inland Marine BKS55811771 11/15/2017 11/15/2018 See Schedule I j DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Menifee is named as additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road Sun City,CA 92586 AUTHORIZED REPRESENTATIVE 17 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER:SF18CGL2581821C COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization to whom the Named Where specified by written contract, but only as Insured has agreed by a written contract respects "Commercial Construction". that such person or organization be added as an Additional Insured for Completed Operations Coverage, but only as respects"Commercial Construction", and only as respects occurrences subsequent to the making of such written contract. As used in this endorsement, "Commercial Construction" means construction other than 1) new home construction and 2)condominium or townhouse related work other than remodel of a single unit. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds, the following is added to organization(s)shown in the Schedule, but only Section III - Limits Of Insurance: CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 with respect to liability for"bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contract or agreement;or However: 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the applicable 2. If coverage provided to the additional insured is Limits of Insurance shown in the Declarations. 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. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 COMMERCIAL GENERAL LIABILITY CG 20 38 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to B. With respect to the insurance afforded to include as an additional insured: these additional insureds, the following 1. Any person or organization for whom you additional exclusions apply: are performing operations when you and This insurance does not apply to: such person or organization have agreed in 1. "Bodily injury", "property damage"or writing in a contract or agreement that such "personal and advertising injury"arising person or organization be added as an out of the rendering of, or the failure to additional insured on your policy; and render, any professional architectural, 2. Any other person or organization you are engineering or surveying services, including: required to add as an additional insured under the contract or agreement described a. The preparing, approving, or failing in Paragraph 1. above. to prepare or approve, maps,shop drawings, opinions, reports, Such person(s)or organization(s) is an surveys, field orders, change orders additional insured only with respect to liability or drawings and specifications; or for"bodily injury", "property damage" or "personal and advertising injury" caused, in b. Supervisory, inspection, architectural or engineering whole or in part, by: activities. a. Your acts or omissions; or This exclusion applies even if the claims b. The acts or omissions of those acting against any insured allege negligence or on your behalf; other wrongdoing in the supervision, hiring, in the performance of your ongoing operations employment, training or monitoring of others for the additional insured. by that insured, if the "occurrence"which However,the insurance afforded to such caused the "bodily injury" or"property damage", or the offense which caused the additional insured described above. "personal and advertising injury", involved the a. Only applies to the extent permitted by rendering of, or the failure to render, any law; and professional architectural, engineering or b. Will not be broader than that which you surveying services. are required by the contract or 2. "Bodily injury" or"property damage" agreement to provide for such additional occurring after: insured. a. All work, including materials, parts or A person's or organization's status as an equipment furnished in connection additional insured under this endorsement with such work, on the project(other ends when your operations for the person or than service, maintenance or repairs) organization described in Paragraph 1. above to be performed by or on behalf of the are completed. additional insured(s) at the location of the covered operations has been completed; or CG 20 38 04 13 © Insurance Services Office, Inc., 2012 Paqe 1 of 2 b. That portion of"your work"out of which 2. Available under the applicable Limits of the injury or damage arises has been Insurance shown in the Declarations; put to its intended use by any person or whichever is less. organization other than another contractor or subcontractor engaged in This endorsement shall not increase the performing operations for a principal as applicable Limits of Insurance shown in the a part of the same project. Declarations. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III -Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or CG 20 38 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2