Loading...
2021/04/16 Newport Harbor Const., Inc.N t W PL)54 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 04/16/2021 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 endorsements . PRODUCER 949-365-5153 NAMEACT Karen Precup Brakke-Schafnitz Ins. Brokers PHONE 949-365-5153 F"X 949-313-3290 License #OK07568 AIC, No, Earf : C. Ho. 3 Polaris Wayy, 4th Floor E al karen.Rrecugo _S �.us Aliso Viejo, CA 92656 Melody Henderson INSURERISI AFFORDING COVERAGE NAIC # INSURER A: Oregon Mutual Insurance Co. 14907 INSURED Newport Harbor Const., Inc. INSURER B: Evanston Insurance Co 35378 News Via Lido INSURER C : State Compensation Ins Fund 35076 C 02 Newport Beachh,, CA 92663 F: COVERAGES CERTIFICATEN BE • 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 TYPE OF INSURANCE ADDL SUER. POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X] OCCUR Y MKLV5PBC003151 04/16/2021 04/16/2022 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTEOenW $ 300,000 MED EXP (Any oneperson) 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREQATE LIMIT APPLIES PER: POLICYX Pm LOC GENERAL AGGREGATE 2,000,000 PRODUCTS - COMPIOP AGG $ 2.000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS CM092251 03/15/2021 03/15/2022 BODILY INJURY Wer accident $ PDAMAGE Per acdden HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B UMBRELLA LIAB [I OCCUR EACH OCCURRENCE 1,000,000 X AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE iMKLV5EUL103220 i 04/16/2021 04/16/2022 DED I I RETENTION $ $ C AND MPLOYERSELIABILITI YIN ANY PROPRIETOR/PARTNER/EXECUTIVE lat OFFdatory in NH)CLUDED? El If yes, describe under ESCRIPTION OF OPERATIONS bel w NIA 9289752 01/01/2021 01/0112022 TH- X PER R E.L. EACH AC (DENT 1,000,000 E.L.DISEASE EA EMPLOYEE 1,000,000 E DISEASE - P01 IrY I IMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 'Sky View 161 - Encroachment Permit The City of Menifee is an additional insured as respects General Liability per endorsement CG2012 0509 attached as required by written contract. City of Menifee 29714 Haun Road Menifee, CA 92586 CITYMEN 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 ie' . 4" ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD NEWPO54 PAGE 2 INSURED'S NAME Newport Harbor Const., Inc. OP ID: KP Date 04/16/2021 NEGL1331 (08-18) Exclusion - Operations Covered by a Consolidated (Wrap - Up) Insurance Program MEGL2208 (01-18) Contractors's Exclusive Advantage Enhancement Endorsement - Per Construction Project Aggregate Limit (Capped at $10M) POLICY NUMBER: MKLV5PBC003151 COMMERCIAL GENERAL LIABILITY CG 20 12 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: As required by permits Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. 2. This insurance does not apply to: a. 'Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. 'Bodily injury" or "property damage" included within the "products -completed operations hazard". CG 20 12 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 COMMERCIAL GENERAL LIABILITY gig MARKEL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - OPERATIONS COVERED BY A CONSOLIDATED (WRAP-UP) INSURANCE PROGRAM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to Paragraph 2. Exclusions under Bodily Injury And Property Damage Liability coverage: This insurance does not apply to: Wrap-up Operations "Bodily injury" or "property damage" arising out of your ongoing operations or your operations included within the "products -completed operations hazard" at any location where a consolidated (wrap-up) insurance program has been provided by the prime contractor, project manager or owner of the construction project in which you are enrolled. This exclusion applies whether or not the consolidated (wrap-up) insurance program: (1) Provides coverage to one or more contractors; (2) Provides multiple lines of coverage; (3) Provides coverage identical to that provided by this Coverage Form; (4) Has limits adequate to cover all claims or "suits'; or (5) Remains in effect. For the purposes of this endorsement, consolidated (wrap-up) insurance program includes an owner -controlled insurance program, contractor -controlled insurance program, rolling wrap-up and any other job or project specific insurance program. All other terms and conditions remain unchanged. MEGL 1331 05 19 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. "Oil and gas exploration" means the underground search for hydrocarbon deposits, such as oil and natural gas. "Oil and gas exploration" includes, but is not limited to, site preparation, drilling, site maintenance, well service, tank batteries, gathering systems, pipeline operations and hauling or other ancillary operations in connection with the search. "Pollution incident" means a sudden and abrupt discharge, dispersal, seepage, migration, release or escape of "pollutants" into or upon land, the atmosphere, or any water course or body of water. "Underground storage tank" means any tank, vessel or storage facility, including associated piping and equipment connected to such tank, vessel or storage facility, which has or at any time in the past had at least 10% of its volume below ground. "Waste disposal site" means a site or any part of a site which is or ever was used for treatment, storage, disposal or processing of waste, including materials to be recycled, reconditioned or reclaimed. C. NON -OWNED WATERCRAFT Paragraph (2) of Exclusion 2.g. Aircraft, Auto Or Watercraft under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM is replaced by the following: (2) A watercraft you do not own that is: (a) Less than 100 feet long; and (b) Not used to carry persons or property for a charge. D. DAMAGE TO PREMISES RENTED TO YOU 1. The COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended as follows: a. The last paragraph of Paragraph 2. Exclusions under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits Of Insurance. b. Paragraph 6. under Section III — Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the most we will pay under Coverage A for damages because of "property damage" to any one premise while rented to you, or in the case of damage by fire, lightning, explosion or sprinkler leakage while rented to you or temporarily occupied by you with permission of the owner, is the greater of: a. The Damage To Premises Rented To You Limit shown in the Schedule of this endorsement; or b. The Damage To Premises Rented To You Limit shown in the Declarations. 2. The PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM is amended as follows: a. The following is added to Paragraph 2. Exclusions under Section I — Coverages, Products/Completed Operations: Exclusions c. through k. do not apply to damage by fire, lightning, explosion, or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner. b. Subject to Paragraph 3. of Section III — Limits Of Insurance, the most we will pay for damages because of "property damage" to any one premises while rented to you, or in the case of damage by fire, lightning, explosion or sprinkler leakage while rented to you or temporarily occupied by you with permission of the owner, is the Damage To Premises Rented To You Limit shown in the Schedule of this endorsement. E. PER CONSTRUCTION PROJECT AGGREGATE The following changes apply only to the COMMERCIAL GENERAL LIABILITY COVERAGE FORM and are subject to the Maximum Policy Aggregate Limit shown in the Schedule of this endorsement. In no event will we be liable for damages in excess of the Maximum Policy Aggregate Limit shown in the Schedule of this endorsement. MEGL 2208 01 18 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 8 with its permission. 1. For all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" under Section I, Coverage A, and for all medical expenses caused by accidents under Section I, Coverage C, which can be attributed only to ongoing operations at a single construction project: a. A separate construction project aggregate limit applies to each construction project, and that limit is equal to the General Aggregate Limit shown in the Declarations. b. The construction project aggregate limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage' included in the "products -completed operations hazard", and for medical expenses under Coverage C, regardless of the number of: (1) Insureds; (2) Claims made or "suits" brought; or (3) Persons or organizations making claims or bringing "suits". c. Any payments made under Coverage A for damages, or under Coverage C for medical expenses, will reduce the construction project aggregate limit for that construction project and the Maximum Policy Aggregate Limit shown in the Schedule of this endorsement. Such payments will not reduce the General Aggregate Limit shown in the Declarations, nor will they reduce any other construction project aggregate limit for any other construction project. d. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable construction project aggregate limit. 2. For all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" under Section I, Coverage A, and for all medical expenses caused by accidents under Section I, Coverage C, which cannot be attributed only to ongoing operations at a single construction project: a. Any payments made under Coverage A for damages or under Coverage C for medical expenses will reduce the amount available under the General Aggregate Limit or the Products -Completed Operations Aggregate Limit shown in the Declarations, whichever is applicable, and the Maximum Policy Aggregate Limit shown in the Schedule of this endorsement; and b. Such payments will not reduce any construction project aggregate limit. 3. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations and the Maximum Policy Aggregate Limit shown in the Schedule of this endorsement, but not reduce the General Aggregate Limit nor the construction project aggregate limit. 4. If the applicable construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. 5. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement will continue to apply as stipulated. F. SUPPLEMENTARY PAYMENTS — CRISIS MANAGEMENT EMERGENCY RESPONSE EXPENSES 1. The following is added to Supplementary Payments — Coverages A and B under Section I — Coverages of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM and Supplementary Payments under Section I — Coverages Products/Completed Operations of the PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM: Crisis Management Emergency Response Expenses a. We will reimburse you for reasonable "crisis management emergency response expenses" incurred because of an "incident' giving rise to a "crisis" to which this insurance applies. No other obligation or liability to pay sums or perform acts or services is covered. b. We will reimburse only those reasonable "crisis management emergency response expenses" which are incurred during the policy period as shown in the Declarations of the policy to which this coverage is attached and reported to us within 6 months of the date the 'crisis" was initiated. MEGL 2208 01 18 Includes copyrighted material of Insurance Services Office, Inc., Page 6 of 8 with its permission.