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HomeMy WebLinkAboutSan Luis Obispo County Farmers Market InsuranceAc�RL � CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) �--- 2/11/2016 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(ies) 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 CONTACT Kimberly Iversen Atascadero Insurance Agency, Inc. .. PHONE (805)466-1062FAX (A.No,_EK0L —N4._� ". N (805)466-2494 �.12C P.O. Box 6042 E-MAIL kiversen@ata.caderoins.com AOURE,SS 7070 Morro Road, Suite A _ INSt1RER(S) AFFORDING Ct7VERAGE NAICIi Atascadero _ CA 93423 _ INSURERA:Trayelers Insurance Compare y A INSURERB:S.tate Compensation Ins Fund 35076 INSURED San Luis Obispo County Farmers Market INSURER C: Attn: Linda Jankay PRODUCTS - COMP/OPAGG $ 2, 000, 000 INSURERD: P.O. Box 16058 INSURER E San Luis Obispo CA 93406 INSURER F: COVERAGES CERTIFICATE NUMBER:16-17 RFVI-RlnN KitIMRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSLIRED NAMED ABOVE FOR THE POLICY PERIOD INDIUA I ED. NO] VVI I HS IANUING ANY rttUUIKEMEN I , I ERM OF< CONDI I ION UH ANY CONI FAC I UR 0_1 HLR UOCUMEN I WITH RESPEC I 10 WHICH 1 HIS 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. 1NSR AbOL"SUBR- POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M LIMITS X A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FOOCCUR X _ 660 -732X4168 -TCT -16 3/21/2016 3/21/2017MED EACH OCCURRENCE $ 1,000,000 _ffAXPRE I E T RENTED PREMSES Ea[ocCsirre $ 100,000 _EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 �� -- LIMIT APPLIES PER: PRO. POLICY 0JECT LOC _ GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE X PRODUCTS - COMP/OPAGG $ 2, 000, 000 $ OTHER. Al1TnMOBILE LIABILITY COMBINED SINGLE LIMIT q s=ct+.x,4lwettti BODILY INJURY (Per person) $ ANY AUTO _ ALL OWNED SCHEDULED NON -OWNED AUTOS AUTOSI— HIRED AUTOS AUTOS r: T :] //�� <} 1 A T []L BODILY INJURY (Per accident) $ PROPERW DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE' DED I RETENTION $ WORKERS COMPENSATION OTH- B AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? �� (Mandatory in NH) If ;es, deccr.be u ride N /A 1934101-15 6/16/2015 6/16/2016 E - E.L. EACH ACCIDENT $ 1,000,000 E,L. DISEASE - EA EMPLOYE $ 1,000,000 — -- —_— E.L. DISEASE - POLICY LIMIT i $ 11000,000 I DESCRIPTION OF OPERATIONS below i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 'tt more space is required) Certificate Holder is included as Additional Insured as respects General Liability per policy form GN 01 88 01 96 (copy attached). RE: Downtown Farmers Market CERTIFICATE HOLDER City of San Luis Obispo Attn: City Clerk's Office 990 Palm St. San Luis Obispo, CA 93401 ACORD 25 (2014/01) INS025 (201401) 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. AUTHORIZED REPRESENTATIVE Jason Cybulski/KI U 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY ISSUE DATE: 3-11-16 POLICY NUMBER: X- 660 -732X4168 -TCT -16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CHARITY FIRST - AMENDMENT OF COVERAGE - WHO IS AN INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization (Additional Insured): City of San Luis Obispo Designation Of Premises (Part Leased to You) Downtown Farmers Market WHO IS AN INSURED (Section II) is amended to include as an insured: A. Your members and volunteers but only with respect to their liability for your activities or activities they perform on your behalf; B. Your trustees or members of the board of governors while acting within the scope of their duties as such on your behalf; and C. Person(s) or organization(s), whether or not shown in the Schedule above, but only with respect to their liability arising out of: 1. Their financial control over you; 2. Their requirements for certain performance placed upon you, as a non-profit organiza- tion, in consideration for funding or financial contributions you receive from them; 3. The ownership, maintenance or use of that part of a premises leased to you; or 4. "Your work" for that insured by or for you. As respects Part C.3. above, this insurance does not apply to: (a) Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s); or (b) Any "occurrence" which takes place after you cease to be a tenant in that premises. GN 01 88 01 96 Copyright, Travelers Indemnity Company. Page 1 of 1 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's Member Center: Log In I Sin Need Coverage? flow Does Your Insurer Rate? State Insurance Information Find insurers by slate or coverage type jEnier a Cpnmany Name I 1=1 I scram a metts v ,��+y� Consumer Home I Terms to Know I Why a Best's Rating is Important I Contact Us h—' Life & Retirement O Health & Disability Com/ Car & Home ® Other Life Events State Compensation Insurance Fund of CA 19 Prinrthisnaoe AM Best #. 04028 NAIC # 35076 FEIN #: 94-3231751 Address: 333 Bush Street Phone: 415-263-5400 6th Floor Fax: 415-263-5827 San Francisco, CA 94104 Web: www. statefundca corn UNITED STATES Best's Ratings View Definition This company has not been assigned a Rating by A M Best Licensing: The company is licensed in California The company is legally authorized to operate in California and in states having reciprocal arrangements with CA. Top Line(s) of Business (based upon Direct Premiums written) 1. Workers' Compensation(Mew coinrbnnt 2. Excess Workers' Compensation ohm onrmttiun ) TOP State(S) of Business (based upon Direct Premiums Written) 1 California Visit our NewsRoom for the latest News and Press Releases for this company and its A M Best Group Terms of Use All information provided on the A M Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A M Best Company and is protected by United States copyright laws and international treaty provisions A M Best and its licensors retain all copyright and other proprietary rights to the website content Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A M Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use- usto[Dg faryi2ft I Product Su000d I Member Center I Contact In I Careers Atxiut &M-8 I Site-ManI Pin"gary, PoltcvI Security I Tarms-of UseI Legal 8 Licensira Copyright © 2016 A. M Best Company, Inc. and/or its affiliates ALL RIGHTS RESERVED. http://www3 . ambest. com/consumers/CompanyProfile. aspx?BL=3 6&ambnum=004028&P... 3/24/2016 A.M. Best's Consumer Insurance Information Center Page 1 of 1 com4wow bawame COMM 40 Member Center: Log In I Sign UD Need Coverage? How Does Your Insurer Rate? State Insurance Information or coverage type Find insurers by state @rRao a Company NamaI v Consumer Home I Terms to Know I Why a Best's Rating is Important I Contact Us © Life & Retirement O Health & Disability 0 Car & Home ® Other Life Events Travelers Insurance Company Limited (a member of Travelers Companies, Inc.) AM Best#:85363 AIIN#: AA1121375 Address: Exchequer Court 33 St. Mary Axe UNITED KINGDOM Best's RatingsyewD®nrtitkg, Financial Strength Rating: A Outlook: Stable Effective Date: December 04, 2015 (Affirmed) Financial Size Category: XI ($750 Million to $1.00 Billion) Licensing: Information is not currently available Top Line(s) of Business (based upon Direct Premiums Written) Information is not currently available Top State(s) of Business (based upon Direct Premiums Written) Information is not currently available Phone: 44-203-207-6000 Fax: 44-203-116-2180 Web: www travelers cc uk Visit our NewsRoom for the latest News and Press Rcivases for this company and its AM. Best Group, Terms of Use f�rl!lt tn�5 nit All information provided on the AM Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A M Best Company and is protected by United States copyright laws and international treaty provisions A M Best and its licensors retain all copyright and other proprietary rights to the website content Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A M Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use ;UsLqMer Servi g I Product Suoogg I Member Center I Contact in I areers About A Best 1 Silo Mau I F-rvacy PallcvI Sacyri I Terms of Use 1 Lestat &_Licom n® Copyright © 2016 A M. 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