My WebLink
|
Help
|
About
|
Sign Out
Home
Agmt 2016 AHG Architectural
CityHall
>
City Clerk
>
City Council
>
Agreements
>
2016
>
Agmt 2016 AHG Architectural
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/5/2019 7:38:51 AM
Creation date
7/7/2016 3:00:31 PM
Metadata
Fields
Template:
CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Agreement
Document Date (6)
6/20/2016
Retention
PERM
Document Relationships
_CC Agenda 2016 0620 CS + RG
(Reference)
Path:
\City Clerk\City Council\Agenda Packets\2016\Packet 2016 0620
8M Consent 2016 0620
(Reference)
Path:
\City Clerk\City Council\Agenda Packets\2016\Packet 2016 0620
Reso 2016-082
(Reference)
Path:
\City Clerk\City Council\Resolutions\2016
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
52
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).
View images
View plain text
A400REI CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDOIYYYY) <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />11/17/2015, <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(les) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />520 Madison Avenue <br />32nd Floor <br />New York, NY 10022 <br />CONTACT <br />NAME: <br />PHONE E 888 202-3007 FAX <br />No . <br />ft -MAIL, <br />ADDRESS: co hiscox.com <br />INSURER AFFORDING COVERAGE NAIC g <br />INSURER A: Hiscox Insurance Company Inc 10200 <br />INSURED <br />AHG Architectural Services ., <br />212 Oriole Ct <br />INSURER e : <br />INSURER C : <br />INSURER D: <br />INSURER E: <br />Hercules CA 94547 1 <br />P_f1VFRA(:FS ^=Mn ra.wr� . <br />INSURER F: <br />-- ---- """ RG7h71WIJ NUMOC.R: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br />FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ISI TYPE OF INSURANCE L stm POLICY EFF POLICY EXP <br />POLICY NUMBER LDffrS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE ",000,000 <br />UPMACIF TO RENTED <br />PREMISES Ea oaamwm $ 100,000 <br />CLAIMS -MADE OCCUR <br />MED EXP ale ) $ 5;000 <br />S 1,000,000 <br />A <br />Y <br />Y <br />UDC -1655192 -CGL -15 <br />11/05/2015 <br />11/05M16':PERSONALSADVINJURY <br />GEMLAGGREGATE UMIT APPLIES PERGENERAL <br />X POLICY 1:1ERGOT - <br />AGGREGATE$ 2,000,000 <br />PRODUCTS - COMPlbP AGG $ S/T Gen. <br />LOC <br />OTHER: <br />$ <br />AUTOMOBILE <br />COMBINED7SINGLE LIMIT $ <br />ANY AUTO <br />BODILY INJURY (Per pmum) $ <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per amkim t) $ <br />AUTOS AUTOS <br />NON-OWNHIRED AUTOS AUTOS � <br />P ERTY DAMAGE $ <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE - $ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILI Y YIN <br />A R <br />E.L.EACH ACCIDENT $ <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDED7 <br />NIA <br />(Many In NH) <br />M yes. tbserbe undm• <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - EA EMPLOY $ <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddRkmal Remarks Schedule, may be apaebed N more space Is reclulmo <br />City of San Leandro and its officers, officials, employees, and volunteers are additional insured. The Hiscox General Liability Policy UDC -1655192 -CGL -15 is <br />primary and subject to the policy terms and conditions. The Hiscox General Liability Policy UDC -1655192 -CGL -15 is endorsed With waiver of subrogation <br />endorsement E5402 in favor of City of San Leandro and its officers, officials, employees, and volunteers. <br />f.r_�TIf•./.wTc u.�. www <br />City of San Leandro <br />835 East 14th Street <br />San Leandro, CA 94577 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />C 1988-2014 ACORD CORPORATION_ All ri..l.se <br />ACORD 25 (2014/01) 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.