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HomeMy WebLinkAboutSLO Downtown Association InsuranceRECEIVED I JAN 0 6 2017 T Q7 S l..0 CITY ACLERK �. E R K ` DATE (MMIDDlY1'YY) ACaAE] CERTIFI ATE-DASILITY INSURANCE F,2(3112016 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION COAST & RANCH INSURANCE SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1108 GARDEN ST., SUITE 206 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SAN LUIS OBISPO, CA. 93401 INSURED SAN LUIS OBISPO DOWNTOWN ASSOCIATION 1108 GARDEN ST., SUITE 210 SAN LUIS OBISPO, CA. 93401 rnvPQAnr_c INSURERS AFFORDING COVERAGE I NAIC # INSURER A SCOTTSDALE INSURANCE CO. 4 + / INSURER B ALLIED INSURANCE CO. A t .Ir ✓ D THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IR LTR NanPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS INM1Q01_Y.YyY.) GENERAL LIABILITY .-DATE EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIASIL TY PR M!S EPaE L._fm nge L S 10_0 000 A X CLAIMS MADE X OCCUR CPS2262650 06/29/2016 06/29/2017 MED EXP (Any one person) S5,000 PERSONAL & ADV INJURY S1,00 000 _ GENERAL AGGREGATE 52 000 000 PRODUCTS -COMP/OPAGG $2,000,000 GEN'LAGGREGATE LIMITAFPLIES PER: X POLICY PRO LOC AUTOMOBILE LIABILITY (EOaBentSINGLE LIMIT $1,000,000 ANY AUTO B X ALL OWNED AUTOS ACP BA 7811866872 05/23/2016 I 05/23/2017 BODILY INJURY S X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ ORRASSE LIABILITY OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG S EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE S OCCUR CLAIMS MADE S S DEDUCTIBLE S RETENTION! S WORKERS COMPENSATIONVVC STATU- OTH- AND EMPLOYERS' LIABILITY YIN N _LL EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ E L DISEASE - EA EMPLOYEq 5 (Mandatory In NH) It yes, deswbu under E L DISEASE - POLICY LIMIT I $ SPECIAL PROVISIONS below OTHER i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS INDIVIDUAL POLICIES - GEWL LIABILITY & ACP BA -BUSINESS AUTO, PROVIDE LIABILITY COVERAGEIINSURANCE FOR SLO DOWNTOWN ASSN SPONSORED EVENTS INCLUDING BUT NOT LIMITED TO -CONCERTS IN THE PLAZA, CREEK SCENE, SANTA'S HOUSE & CHRISTMAS PARADE. GL POLICY ALSO PROVIDES LIQUOR LIABILITY COVERAGE AS PER POLICY FORM. CITY OF SAN LUIS OBISPO NAMED AS ADDITIONAL INSURED ON BOTH POLICIES BUT ONLY INSOFAR AS THE INSURED BUSINESS OPERATIONS. s,crc I Ir141i i e nULUMM C:ANL:tLLA 1-101`4 CITY OF SAN LUIS OBISPO ATTN: CITY CLERK OFFICE 990 PALM ST. SAN LUIS OBISPO, CA. 93401 FAX - 805-781-7109 ACORD 25 (2009/01) A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPOrt THE INSURER, ITS AGENTS OR ©19IM-20b9 ACORD CORPORATICIN. All rights reserved. 1 Pic m�,xu Plaint anu wyu are retg IStereu RIarKS OT At.UKU CA 20 48 (02-99) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, DESIGNATED INSURED This endorsement modifies insurance provided under the following: RUSINFSS AUTO COVFRAGF FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modlfied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form, SCHEDULE Name of Person(s) or Organization(s): CITY OF SAN LUIS OBISPO (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule Is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. Copyright, Insurance Services Office, Inc., 1998 CA 20 48 (02-99) ACP BA 78-1-1866872 MACH 16084 AGENT COPY CA2048029900 0240 78 0002872 POLICY NUMBER. CPS2262650 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modules Insurance provided under Ina roIWAing: COMEIERCIAL GENERAL LIABIUTY COVERAGE PART SCHEDULE fdslrrle Or Addittollal Insured Person(s) Or yr anizatlon s Locatlon(s) Of Covered Operations City of San Luis Obispo 990 Palm St. San Luis Obispo, CA. 93401-3249 Inrom ation LequIred in awyndes atic Schedule, if not slo%4n above. w o be shave In me Dedaraftm. A. Section 11 • Who Is An Insured Is amended to include as an 34*2k nal kmoed the parson(s) or organ4aVon(s)shvwn to the SdIedUle. but only wilh respect to haWlity fbr -bodily mW."ixopenY d&MW 61'QersosW and advertrwg Injury' caused. in w 1inie or In ptut, by: 1. Your acts or omissions: or 2. The acts or omissions of Mose acting on your behatt in the performance of your Ong0irlg apesabons fpr the add-bor>al tmsuredl sp at the locab0n(s) desiyw..ed ahoft. However. 1. The nsr 4raoce a'.foroed to such additional insured only applies to the extent pemirned bylaw, and 2. G coverage provided 10 Lha additional Insured is required f y a contact or agreement. the insurance aTforded To such adddlomal Insured viii not be broader than that which you 81`8 repuired by the contract or agreement to provide for such additional lmsuled. B. With respect to the Insurance afforded to these additional Insureds. Me following FHidltwal ertdvStom apply: This Insurance does not apply to 'bodily lnjury or 'property damage• ocaaring atter. 1. All work. including materials, parts or equipmenl furnished In connection with such work. on the project (other man service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed: or 2. That portion of 'V= AvW out of wtrkh the injury or damage arises has been put to its Intended use by any person or organization other matt another contractor or subcontractor engaged In performing operations for a principal as a part of the sarne project. CG 20 10 04 13 Ct Insurance Services Office, Inc,. 2012 Page 1 of 2 GENERAL AGENT City Administration 990 Palm Sheet, Sari Luis Obispo CA 93401-3249 805.781.7114 December 29, 2016 San Luis Obispo Downtown Association 1108 Garden Suite 201 San Luis Obispo, CA 93401 Subject: Expired Insurance Certificates for "San Luis Obispo Downtown Association" Contract Dear Sir or Madam: Our records indicate the following insurance coverage(s) will expire as of the referenced date below. According to the contract, you must maintain insurance coverage throughout the term of the contract. We would greatly appreciate your prompt attention to this matter. Automobile Liability: Workers Comp/Empl Liability: General Liability: Expiration date: 05/23/2016 Expiration date: 06/16/2016 Expiration date: 06/29/2016 For General Liability coverage, you will need to submit a binder or certificate of insurance with the "Additional Insured Endorsement" prior to the date of expiration. If you submit a binder, you will need to send the certificate of insurance and the "Additional Insured Endorsement" once it is issued. The documents may be emailed in advance to hg_oodw_ inLa),slocity.org and then hard copies mailed. All documents should be sent to: City of San Luis Obispo Attn: City Clerk's Office 990 Palm Street San Luis Obispo, CA 93401 If you have any questions, please phone me at (805) 781-7103. Our fax number is (805) 781-7109. Sincere , Heather Goodwin Deputy City Clerk City Administration 990 Palm Street, San Luis Obispo, CA 93401-3249 805.781.7114 sloaty org April 8, 2016 San Luis Obispo Downtown Association Deborah Cash PO Box 1402 San Luis Obispo, CA 93406 Subject: Expired Insurance Certificates for "San Luis Obispo Downtown Association" Contract Dear Ms. Cash: Our records indicate the following insurance coverage(s) will expire as of the referenced date below. According to the agreement, you must maintain insurance coverage, as outlined in the attached excerpt, for the term of the agreement. Automobile Liability: Workers Comp/Empl Liability: General Liability: Expiration date: 05/23/2016 Expiration date: 06/16/2016 Expiration date: 06/29/2016 For General Liability coverage, you will need to submit a binder or certificate of insurance with the "Additional Insured Endorsement" prior to the date of expiration. If you submit a binder, you will need to send the certificate of insurance and the "Additional Insured Endorsement" once it is issued. The documents may be emailed in advance to hgoodwini.'7slocity.org and then hard copies mailed. All documents should be sent to: City of San Luis Obispo Attn: City Clerk's Office 990 Palm Street San Luis Obispo, CA 93401 If you have any questions, please phone me at (805) 781-7103. Our fax number is (805) 781-7109. Sincerely, Heather Goodwin Deputy City Clerk