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HomeMy WebLinkAboutT-5968 - Certificate of Insurance - 7/26/2011 City oiMEMORANDUM r1W01_.4,160 DEVELOPMENT AND RESOURCE MANAGEMENT DEPARTMENT-DEVELOPMENT SERVICES DIVISION-2600 FRESNO STREET-FRESNO,CA 93721 DATE: July 20, 2011 TO: KERRY TROST Personnel Services Department FROM: JONATHAN BARTEL Development and Resource Management Department SUBJECT: REQUEST FOR CERTIFICATE OF LIABILITY AND ENDORSEMENT OF INSURANCE APPROVAL FOR THE FINAL MAP OF TRACT NO. 5968 Attached are certificates of liability insurance required for the subdivision agreement for the Final Map. Please review for conformity to City acceptance policies. Final Map is scheduled for Council action on July 28, 2011. If you have any questions, please contact me at 621-8076. Thank you, Jonathan Bartel A�Rte® CERTIFICATE OF LIABILITY INSURANCE 7/zii2011 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 CO TA T Kathie Thatcher AME: EATON & EATON INSURANCE BROKERS PHONEFAX (559)485-7100 1 A!C NO:(559)485-6476 2115 Kern Street, Suite 100 E-MAIL ESS:kthatcher@eatonandeaton.com INSURERS AFFORDING COVERAGE NAIC p Fresno CA 93721 INSURERA:Golden Eagle INSURED INSURER B:Federal Insurance Fancher Creek Properties LLC INSURER C: 855 "Mr' Street INSURER D: Suite 1110 INSURER E: Fresno CA 93721 1 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1171303180 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. INSR ADDL SUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER JMMIDDIYYYYI, (MMIODIYYYYLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 REITE X COMMERCIAL GENERAL LIABILITY PREMISES a occurrence S 500,000 A CLAIMS-10ADE OCCUR X 3L 8340460 11/4/2010 1/4/2011 MED EXP(Any one person) S 10,000 _PERSONAL&ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE S 2,000,000 GENT.AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOP AGG S 2,000,000 X POLICY I PR0- LOCS .. AUTOMOBILE LIABILITY G91MBINED SINGLELI 17 Ea accident ANY AUTO p roved BODILY INJURY(Per person) S M AUTOS ALLOWNED SCHEDULED AUTOSp ove :w/ an eso BODILY INJURY(Per accident) S NON-OWNED ?1 fR P RTY DAMAGE S HIRED AUTOS AUTOS - Jv e Pe a 'dens S B X UMBRELLA LIAR X OCCUR IVI EACH OCCURRENCE S 5,000,000 EXCESS LIAB CLAIMS-MADE 7984-6671 11/4/2010 1/4/2011 AGGREGATE S 5,000.000 DED RETENTIONS S WORKERS COMPENSATION WC STATU• OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE F- NIA E.L.EACH ACCIDENT ST- OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S If yes,describe under DESCRIPTION OF OPERATIONS belMv E.L DI$EASE-POLICY LIMIT S each occurrence 10,000,000 B Excess Umbrella 986-2340 7/1/2011 ?/1/2012 aggregate 10,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Scludulo,if more space is required) The City of Fresno, it's officers, officials, employees, agents and volunteers are additional insured as respects to general liability insurance. Such insurance as is afforded by the policy is primary and any other insurance shall be excess and not contribute to the insurance afforded by this endorsement. CERTIFICATE HOLDER CANCELLATION I 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 Fresno c/o Construction Management Division AUTHORIZED REPRESENTATIVE Attn: Maryann Lewis 1721 Van Ness Avenue Fresno, CA 93721 R Gregory Eaton/KATHI ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r7mm.1 ns Thn ar nRrT name nnA Inn^aro rnnictornri mnrtee of Af'OPn POLICY NUMBER: GL 8340460 COMMERCIAL GENERAL LIABILITY CG 2010 03 97 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: The City of Fresno, its officers, officials, employees, agents and volunteers "Such insurance as is afforded by the policy is primary and any other insruance shall be excess and not contribute to the insurance afforded by this endorsement. "**With respects to ongoing& completed operations. (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED(Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. CG 2010 03 97 Copyright, Insurance Services Office, Inc., 1996 Page 11 of 10 77-p 4-- 855 M Street,Suite 1110 iI.Iaf 26 - Fresno,CA 93721 FNEiS L d- (559) 8 A[5r4nP UJ:30 6090 (559)268-6030 fax t July 10, 2008 Jerry D. Bishop Building&Safety Service Manager MAIN COMPANY,LLC CITY OF FRESNO 2600 Fresno Street Fresno,CA 93721 MAR4 COMPANY, LP TF RE: Request for Permits Dear Mr.Bishop: CH NATowNf Please allow this letter to serve as my written authorization for the following people to obtain any and all. permits from the City of Fresno on behalf the following Edison projects: ML Street Properties, Fresno Park Tower, Cornerstone Main, LLC, Plaw Partners,LP Cornerstone Company 2, LP, Edison Plaza Partners, LP, Fancher Creek Properties, LLC and The Penstar Group. Thomas G. Richards, Owner Leta M. Ciavaglia,Agent to Owner Scott Anderson,Agent to Owner Brian Glover,Agent to Owner rancherMeK Thank you for extending this courtesy to us. Feel free to call me if you have any FMW Park questions. Very truly yours, THE PENT STREET PROPERTIES Thomas G. Richards Rcl -Outle INVFSTMENTS Jon Bartel From: Scott Anderson [scott@penstargroup.com] Sent: Tuesday, July 19, 2011 2:57 PM To: Jon Bartel Subject: FW: Insurance Certificate Attachments: D00071811.pdf Jon, Attached please find the General Liability coverage certificate required for the Tract 5968 Subdivision Agreement. Please note that Fancher Creek Properties, LLC(FCP) does not have any automobiles and therefore does not carry Commercial Automobile Liability coverage. Additionally, FCP does not have any employees so we also do not have Workers' Compensation and/or Employers' Liability coverage. Hoping to have the required performance and payment security bonds to you tomorrow. Please let me know if you have any questions. Thank you, Scott J.Anderson The Penstar Group 855 M Street, Suite 1110 Fresno, CA 93721 (559) 268-6090 (559) 268-6030 Fax scott(@penstargroup.com