|
ATTACHMENT 643-211
<br /> AUTOMOBILE LIABILITY ENDORSEMENT
<br /> POLICY INFORMATION
<br /> PRODUCER Construction & Real Estate Practi POLICY INFORMATION:
<br /> Wells Fargo Insurance Services USA, Inc. Insurance Company:Zurich American Insurance Co
<br /> 959 Skyway Rd. , 2nd F1 Policy No.: BAP347266912
<br /> San Carlos, CA 94070 Policy Period:(from) 9/30/13 _(to) 9/30/14
<br /> Telephone No.(650) 413-4298 LOSS ADJUSTMENT EXPENSE ❑ Included in Limits
<br /> ❑ In Addition to Limits
<br /> DEDUCTABLE: $ NIL ❑ Self-Insured ❑ Retention(check which)
<br /> NAMED INSURED (Licensed Contractor) APPLICABILITY. This insurance pertains to the operation and/or
<br /> Granite Rock Company tenancy of the named Insured under all written agreements and permits
<br /> PO Box 50001 in force with the Entity unless checked here ❑ in which case only the
<br /> following specific agreements and permits with the Entity are covered:
<br /> Watsonville, CA 95077 CITY AGREEMENTS/PERMITS-(Describe work and location belowl
<br /> TYPE OF INSURANCE OTHER PROVISIONS
<br /> Q COMMERCIAL AUTO POLICY
<br /> ❑ BUSINESS AUTO POLICY
<br /> ❑ OTHER
<br /> LIMITS OF LIABILITY(per occurrence) CLAIMS: Underwriters representative for claims pursuant to this
<br /> insurance.
<br /> $1,000 000 for Combined Sin le Limit Name: Terry Sityar Claims
<br /> 9 Wells Fargo insurance Services USA, Im .
<br /> Address: Skyway Rd. , 2nCT_
<br /> San Carlos, CA 94070
<br /> Telephone: (650 413-4242 )
<br /> $
<br /> per accident,for bodily injury and property dama e
<br /> In consideration of the premium charge and notwithstanding any inconsistent statement in the policy to which this endorsement is
<br /> attached or any endorsement now or hereafter attached thereto,it is agreed as follows:
<br /> 1. INSURED: The The City of Redwood City,its Council members,commissions,committees,boards, officers, employees,and
<br /> agents as additional insureds are included as insureds with regard to damages and defense of claims arising from:the ownership,
<br /> operation,maintenance,use,loading or unloading of any auto owned, leased, hired or borrowed by the Named Insured,or for which
<br /> the Named Insured is responsible.
<br /> 2. CONTRIBUTION NOT REQUIRED. As respects work performed by the Named Insured for or on behalf of the Entity, the
<br /> insurance afforded by this policy shall: (a) be primary insurance as respects The City of Redwood City, its Council members,
<br /> commissions, committees, boards, officers, employees, and agents as additional insureds; or (b) stand in an unbroken chain of
<br /> coverage excess of the Named Insured's primary coverage. Any insurance or self-insurance maintained by the The City of Redwood
<br /> City,its Council members,commissions, committees, boards, officers, employees, and agents as additional insureds shall be excess
<br /> of the Named Insured's insurance and not contribute with it.
<br /> 3. CANCELLATION NOTICE. With respect to the interests of the Entity,this insurance shall not be canceled,except after thirty(30)
<br /> days prior written notice by receipted delivery has been given to the Entity.
<br /> 4. SCOPE OF COVERAGE. This policy affords coverage at least as broad as:
<br /> (1) If primary, Insurance Services Office Form Number CA0001 (Ed. 1/87), Code 1 ("any auto"):or
<br /> (2) If excess,affords coverage which is at least as broad as the primary insurance forms referenced in the preceding Section(1).
<br /> Except as stated above, nothing herein shall beheld to waive,alter or extend any of the limits conditions, agreements or exclusions of
<br /> the policy to which this endorsement is attached.
<br /> ENDORSEMENT HOLDER
<br /> AUTHORIZED
<br /> City of Redwood City REPRESENTATIVE 121 Broker/Agent ❑ Underwriter ❑ _
<br /> Attn.:"BIT" Department t Johhn H� la (print/type name),warrant P.O.Box 391 that I have authority to bind the above-mentioned insurance company,
<br /> Redwood City,CA 94064 and by my signature hereon do so bind this company to this
<br /> endorseme�
<br /> Signature
<br /> (original signature required)
<br /> Telephone: (650-413-42)95 Date Si ned 9Z12/14
<br />
|