Agmt20 Town of Atherton - Laserfiche WebLink

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CERTIFICATE OF COVERAGE DATE (MM/DD/YYYY) 6/29/2020 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF EVIDENCE ONLY AND CONFERS NO RIGHTS TYPE OF COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR San Francisco-Alliant Insurance Services, Inc. NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MEMORANDUM(S) OF COVERAGE BELOW. 100 Pine St 11th FI THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE San Francisco CA 94111 ISSUING COVERAGE PROVIDER, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE 7/1/2020 CERTIFICATE HOLDER. EACH OCCURRENCE IMPORTANT: IF THE CERTIFICATE HOLDER IS AN ADDITIONAL COVERED PARTY, THE MEMORANDUM OF COVERAGE MUST BE ENDORSED. A STATEMENT ON THIS CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S). IMPORTANT: IF SUBROGATION IS WAIVED, SUBJECT TO THE TERMS AND CONDITIONS OF THE NAMED COVERED PARTY Town of Atherton MEMORANDUM(S) OF COVERAGE AN ENDORSEMENT MAY BE REQUIRED. A STATEMENT ON c/o Pooled Liability Assurance Network JPA Y 1750 Creekside Oaks Drive, Suite 200 Sacramento CA 95833 THE CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S). PROGRAM AFFORDING COVERAGE A: PLAN JPA MED EXPENSE (Any one person) B: PERSONAL 8 ADV INJURY C: COVERAGES THIS IS TO CERTIFY THAT THE COVERAGE IS AFFORDED TO THE ABOVE NAMED MEMBER, AS PROVIDED BY THE MEMORANDUM(S) OF COVERAGE, FOR THE PERIOD SHOWN BELOW, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE PROGRAM DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM(S) OF COVERAGE. THE FOLLOWING COVERAGE IS IN EFFECT. JPA LTR TYPE OF COVERAGE MEMORANDUM NUMBER COVERAGE EFFECTIVE DATE (MMIDDIYY) COVERAGE EXPIRATION DATE (MMIDDIYY) LIMITS A GENERAL LIABILITY GAL 2020-21 7/1/2020 7/1/2021 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) S CLAIMS MADE El OCCUR MED EXPENSE (Any one person) S PERSONAL 8 ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S MEMOR- n PROJECT LOC ANDUM El A AUTOMOBILE LIABILITY GAL 2020-21 7/1/2020 7/1/2021 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO (Ea accident) S ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS WORKERS' COMPENSATION AND EMPLOYERS LIABILITY WC LJ OTHER STATUTORY LIMITS ANY PROPRIETOR/PARTNER/ EXECUTIVE/OFFICER/MEMBER E.L. EACH ACCIDENT I S EXCLUDED? IF YES, DESCRIBED UNDER SPECIAL E.L,DISEASE — EA EMPLOYEE S E.L. DISEASE —POLICY LIMIT S PROVISION BELOW OTHER OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL/PROVISIONS Pursuant to the definition of Covered Party in the Liability Memorandum of Coverage, the certificate holder is an additional covered party for covered claims arising out of the covered activity stated below and is subject to the limits stated above. As respects the lease agreement for the lease of two 36 x 60 foot offices between the Town of Atherton and Mobile Modular Management Corporation; Mobile Modular Management Corporation is an additional covered party with regard to any negligent acts or omissions of the Town of Atherton, its officers, officials, employees, and volunteers. CERTIFICATE HOLDER CANCELLATION Mobile Modular Management Corporation 5700 Las Positas Road Livermore CA 94551 SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUM(S) OF COVERAGE BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE MEMORANDUM(S) OF COVERAGE PROVISIONS. AUTHORIZED REPRESENTATIVE