Agmt14 Granite Rock Company 2013-2014 Asphalt Rubber Chip Seal

Browse Search

s 303844 A ® DATE(MM YY) CERTIFICATE OF LIABILITY INSURANCE s/12/2014 2o1a 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(les) must 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 NAME: Construction&Real Estate Practice PHONE FAx 866 358-1487 Wells Fargo Insurance Services USA,Inc-CA Lic#:OD08408 EMAIL CertRequests @welisfargo.com A/C No 959 Skyway Rd.,2nd FI — INSURER(S)AFFORDING COVERAGE_ NAIC p San Carlos,CA 94070 INSURER A: American Insurance Co 6535 INSURED INSURER B: Westchester Fire Insurance Company 10030 Granite Rock Company American Zurich Insurance Company —t-40142 INSURER C: an P Y � PO Box 50001 INSURER D - INSURER E: Watsonville,CA 95077 INSURER F: COVERAGES CERTIFICATE NUMBER: 8154722 REVISION NUMBER: See below 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 POLICY NUMBER MMIDD/YYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 A r� X GL0347266812 09/30/2013 0913012014 DAMAGE TO $ CLAIMS-MADE u OCCUR I DAMAGE N ED 300.000 PREMIS Ea occurrence $ _ X xCU Hazards MED EXP(Any one person) S _ 10,000 X Convaclual Liability i 000 000 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S __ 2.DOO•OOO POLICY i� PRO - POLICY JECT L,I LOC i PRODUCTS S 2.000,000 _ _ OTHER $ A AUTOMOBILE LIABILITY X BAP347266912 09/30/2013;09/30/2014 COMBINED SINGLE LIMIT $ 1,000,000 1(Ea accident)., x ANY AUTO __ i I BO' DILY INJURY(Per person) 'TS ALL OWNED rr SCHEDULED I I BODILY INJURY Per accident) S AUTOS AUTOS I ( ( NON-OWNED PROPERTY DAMAGE X HIRED AUTOS x l S _�AUTOS Per accident I S B X UMBRELLA LIAB x OCCUR G22009163009 09/30/2013 09/30/2014 EACH OCCURRENCE S 2,000.000 EXCESS LIAB CLAIMS-MADE i j AGGREGATE S 2.000.000 DED RETENTIONS $ C WORKERS COMPENSATION I WC347266712 STATUTE OERH AND EMPLOYERS'LIABILITY YIN 09!30/2013 i 09130/2014 x ,ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 1,000,000 'OFFICERIMIEMBER EXCLUDED? a NIAI I - (Mandatory In NH) I E.L_DISEASE-EA EMPLOYEE!$ 1,000.000 If yes,describe under I 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i i i I I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached It more space Is required) UGL1175ECW0412,CA20480299 Re: Granite Job#5234;2013-2014 Asphalt Rubber Chip Seal and Sport Repair Project. The City of Redwood City,its council members,officers,boards,commissions,employees and agents are named as additional primary insureds. CERTIFICATE HOLDER CANCELLATION City of Redwood City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering Division ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 391 Redwood City,CA 94064 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014/01)