HomeMy WebLinkAboutBadger Branding Certificate of Insurance (1)Ac"Roe CERTIFICATE OF LIABILITY INSURANCE
E BMIMMD
sAT3/2T/202ce5 n
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: N the certificate holder is an ADDITIONAL INSURED, the poliry(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and Conditions of the polity, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsementls).
PRODUCER
Arthur J. Gallagher Risk Management Services, LLC
SOO N Brand Blvd Ste 100
Glendale CA 91203
CNRME�T WIGS AatllBmlann
PHONE FAz
9-2300
No E : 81853AN He:81R-539-2301
ADDREESS, luke aschermann a' .cem
INSURE S <FFORa1X6COVEMGE
"Ico
1NSURERA: HisceX Insurance Company Guemse Limited
Llcensa OD69293
lmm BADGBRAd1
BADGER BRANDING, Inc
4349 Old Santa Fe Rd. Ste 35
INSURER a: Hartford! Casualty Insurance Company
29424
INSURERC:
INSURERD:
SAN LUIS OBISPO CA 93401
INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 535595877 REVISION NUMBER:
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.
Ism
TYPEOFINSURANCE
AOOLBIIBR ]HADrMU(NEFF
IM1-KNE%F
LIMNa
A
X
COrMEROMLOEXERALLWYTY
CWMBMADE OCCCUR
Y
4/112024
4I1/2025
EACHOCCURRENCE
$2.000,000
OMAGETDNTED
PRISES REcmmnm
$100.000
MEO E%P mepwwn
f5.000
PERSONALeAOV INJURY
so
GENLAGGREGKTE
UMITAPPLIES PER:
POLICY PM
GENEWJAGGREGATE
$2aDCDW
X
PRODUCTS-CDMPOPAGG
$2,000,00D
WdM1Y
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NONCWNED
AUTOS ONLY AUTOS ONLY
COMBINEAVIOMOBEE
(Ed awldenISINGLE LIMB
$
BOOLYINJURY(FIwperson)
$
BODILYINJURY(Pe,accnenq
$
PRW ERIYOAMAGE
Per ealdenl
$
UMBREI$AWB
IXCESS LAO
OCCUR
CLAIMSM4DE
EACXOCCURRENCE
$
AGGREGATE
$
BED
I I RETENTION$
$
B
WORKERSCOMPENSATION
AND EMPLOYERS' LNBIURY YIN
ANYRROPRIETORPARTNERAM(ECUPIE
OFFICERMEMBEREXCLUE
(Menduary In MR)
IfN deurbe ender
DESCRIPTION OF OPERATICNsbekw
NIA
9172024
9ITY1025
X PER OT1
EL EACH ACCIDENT
SI'm,"
ELOSFASE-EAEMPLOYEE
$1,OOQOOD
EL DISEASE -POLICY LIMIT
$1,000,000
A
Pretended CabiliM
41112024
4I12025
Each Oelm
ADD(dwa
1.OW,OOD
2PW.ODD
DESCRPTNIN OF OPER1TpNs l LOCATIONS I YEHCLES (ACORD 101, Addi4o,W RemeM S[badoN, May &AS,di Xmon paca u n ilirw)
Evidence Of insurance.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of San Luis Obispo
ORIO DRE ESENTATrre
�" p
990 Palm St
San Luis Obispo CA 93401
01988-201S ACORD CORPORATION. All right: reserved.
ACORD 25 (201MG) The ACORD name and logo are registered marks of ACORD
Hiscox Insurance Company Inc.
Endorsement 33
NAMED INSURED: Badger Branding Inc.
Blanket Additional Insured - Clients and Lessors of Premises
Am.
H I SCOX
encourage courage-
Page 1 of 1
In consideration of the premium charged, and on the understanding this endorsement leaves all other terms, conditions,
and exclusions unchanged, it is agreed the General Liability Coverage Part is amended as follows:
I. The following are added to the end of Section III. Who is an insured:
CL-A. Clients If you have agreed in a written contract or agreement to add them as an additional
insured to a policy providing the type of coverage afforded by this Coverage Part, any
person or organization for whom you are performing operations is an insured, but
only with respect to liability arising out of:
1. your acts or omissions or of those acting on your behalf; and
2. the performance of your ongoing operations for the additional insured.
A person or organization's status as an additional insured under this subsection CL-A
ends when your operations for that additional insured are completed.
CL-B. Lessors of premises If you have agreed in a written contract or agreement to add them as an additional
insured to a policy providing the type of coverage afforded by this Coverage Part, any
person or organization from whom you lease any premises is an insured, but only
with respect to liability arising out of the ownership, maintenance, or use of that part
of the premises leased to you.
However, the coverage afforded to such additional insured(s) does not apply to any
liability arising out of structural alterations, new construction, or demolition operations
performed by or for such additional insured(s).
A person or organization's status as an additional insured under this subsection CL-B
ends when you cease to be a tenant in the premises.
Endorsement Effective: April 1, 2025
-tp.?z
By: Mary Boyd
(Appointed Representative)
Policy No.:
BOP-GL E5025 CW (11/19)
Includes copyrighted material of Insurance
Services Office, Inc. with its permission