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T-6037 - Certificate of Insurance - 8/26/2013
DATE081/26/2013 YYY) CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS M 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 NAME: Aon Risk Insurance Services West, Inc. PHONE (949) 608-6300 FAX (949) 608-6459 Q Newport Beach CA office (A/C.No.Ext): (A/C.No.): -a 100 Bayview circle E-MAIL p Newport Beach CA 92660 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: International Ins CO Of Hannover Ltd -UK AA1120822 Granville Homes, Inc. INSURER B: Great American Insurance company Of NY 22136 1396 W. Herndon Ave., Suite 101 Fresno CA 93711-7126 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570051083664 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. Limits shown are as requested INSR TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY CDB NAl CP 7 1 EACH OCCURRENCE $5,000,000 SIR applies per policy terns & conditions DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $lOO,OOO CLAIMS-MADE X❑OCCUR MED EXP(Any one person) Silica:$1 M ea.occ. PERSONAL&ADV INJURY $5,000,000 GENERAL AGGREGATE $5,000,000 00 PRODUCTS-COMP/OP AGG $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: � X POLICY PRO LOC o AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) O Z ALL OWNED SCHEDULED BODILY INJURY(Per accident) y AUTOS AUTOS NON-OWNED PROPERTY DAMAGE V HIRED AUTOS AUTOS (Per accident) - N B UMBRELLA LIAB X OCCUR EXC4647914 04/29/2013 04/29/2014 EACH OCCURRENCE $5,000,000 V LEXCESS LIAB CLAIMS-MADEExcessLiability AGGREGATE $5,000,000 X EXCESS LIAB CLAIMS-MADE DED RETENTION WORKERS COMPENSATION ANDWCTORY LIMITS STATU- OERTH- EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT .�L -y �.i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) .tiff The City of Fresno, its officers, officials, employees, agents and volunteers are additional insured as respects to General _1r_ Liability insurance. The above policy contains Resultant Bodily injury and Property Damage from Professional Liability. This �- insurance is primary, and our obligations are not affected by any other insurance carried by such additional insured whether primary, excess, contingent, or on any other basis. Re: Subdivision Final Map Tract 6037. *GL endorsement attached. 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. _ y City Of Fresno AUTHORIZED REPRESENTATIVE A� c/o ion Bartel 2600 Fresno street econ y1L.6O �JL 4th Floor Fresno CA 93721-3612 USA ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CDB12/NA12CP01/007 COMMERCIAL GENERAL LIABILITY Commercial General Liability Coverage Form Section 3—Who is an Insured 1. Any person or organization that you have agreed by written contract or written agreement to add as an insured under this policy is an insured. However: a. Coverage under Coverage A and Coverage C is limited to liability which: (1) Arises out of your ongoing operations; or (2) Arises out of "your work" performed by such person or organization for the Named Insured. b. Coverage A does not apply to "bodily injury" or "property damaged" that occurred before you entered into that written contract or written agreement; C. Coverage B does not apply to: (1) "property damage": (a) To that particular portion of"your work performed on your behalf by the person or organization you have agreed by written contract or written agreement to add as an insured; and: (b) That occurred before you entered into that written contract or written agreement. (2) "repair costs" for Home Performance Failure(s) taking place before you entered into that written contract or agreement. d. Coverage C does not apply to "personal and advertising injury" arising out of an offense committed before you entered in to that written contract or written agreement;