My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
AgdaPkt 2019-02-25 Joint SA PFA
RedwoodCity
>
City Clerk
>
Agenda Packets
>
2010-2019
>
2019
>
AgdaPkt 2019-02-25 Joint SA PFA
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/2/2020 10:15:52 AM
Creation date
2/21/2019 5:32:56 PM
Metadata
Fields
Template:
CC Index
CC Index - Document Type
Agenda Packet
Meeting Type
Joint
Agency Type
City Council and Successor Agency and Public Financing Authority
Date
2/25/2019
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
486
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
ti_F_ --D--aP 11 of 1R <br />ACORQ® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />02!/111201911/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />UUNIAGI MANE: Linda White <br />Thomas E Mestmaker & Assoc. License #01544996 <br />PaHONE Ext): (661) 327-3111 FAX No): (661) 327-1262 <br />A -MAIL : LWhite@Wilsonpaves.com <br />c/o Wilson Paves &Assoc. Lic # OE50885 <br />INSURERS) AFFORDING COVERAGE MAIC # <br />3636 Pegasus Drive <br />Bakersfield CA 93308 <br />INSURERA : Allied World Insurance Company 22730 <br />INSURED <br />INSURERB : Non -Profits' United Vehicle Insurance Pool <br />Redwood City Police Activities League <br />INSURERC : State Compensation Ins Fund 35076 <br />INSURERD : Arch Insurance Group Inc. 11150 <br />3399 Bay Rd. <br />INSURER E : <br />Redwood City CA 94063 <br />INSURERF : <br />COVERAGES CERTIFICATE NUMBER: 19-20GL,Acc,BA,Umb,WC REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MMIDD1W <br />MMIDDIYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE F_x] OCCUR <br />PREMISES Ea occurrence $ 300,000 <br />MED EXP (Ary one person) $ Excluded <br />PERSONAL & ADV INJURY $ 1,000,000 <br />A <br />Y <br />5075126800 <br />01/01/2019 <br />01/01/2020 <br />GEN'L AGGREGATE LIMITAPPLIES PER. <br />GENERAL AGGREGATE $ 3,000,000 <br />POLICY 1 JEPRO <br />LOC <br />PRODUCTS-COMPfOPAGO $ 1,000,000 <br />SEXUALABUSE $ 1,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 2,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />X <br />ANY AUTO <br />B <br />OWNED x SCHEDULED <br />AUTOS ONLY AUTOS <br />2088 <br />07/01/2018 <br />07/01/2019 <br />BODILY INJURY (Per accident) $ <br />X <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Per accident <br />Underinsured motorist $ 3,500 <br />X <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />EXCESS LIAB <br />HCLAIMS-MADE <br />5078017000 <br />01/31/2019 <br />01/01/2020 <br />AGGREGATE $ <br />DED I XI RETENTION $ 10,000 <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYY r N <br />ANY EMBREXCLUDED? CUTIVE <br />OFFICERfMEMBER EXCLUDED? <br />(MandatoryinNH) <br />NIA <br />Y <br />901842918 <br />07/12/2018 <br />07/12/2019 <br />PER OTH- <br />STATUTE I I ER <br />E. L. EACH ACCIDENT $ 1,000,000 <br />E. L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT $ 1,000,000 <br />Accident/Medical <br />D <br />SPNO01011301-0057 <br />01/01/2019 <br />01/01/2020 <br />Limit $50,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Redwood City, its officers, agents, employees and volunteers are added as additional insured to the General Liability Policy per the attached <br />form#CG 20 26 (4113) subject to the terms, conditions and exclusions of the policy. A written contract is required for the additional insured to be valid. <br />Primary and noncontributory wording is attached per form #CG 20 01 (4113). <br />Waiver of Subrogation applies to Workers Compensation coverage per attached waiver. <br />CERTIFICATE HOLDER CANCELLATION <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The City of Redwood City <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />1017 Middlefield Rd. <br />AUTHORIZED REPRESENTATIVE <br />Redwood City CA 94063 <br />/ <br />. z <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.