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HomeMy WebLinkAboutWhitlock & Weinberger Transportation, Inc.'`1`C"R"0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 1/31/2022 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(les) must have ADDITIONAL INSURED provisions or 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 ABD Insurance & Financial Services, Inc. 1435 N McDowell Blvd Ste 320 Petaluma, CA 94954 CONTACT NAME: cert Request PHcON o 650-488 FA8565 AIC No E-MAIL ADDRESS: TechCertRe uest theabdteam.com INSURERS AFFORDING COVERAGE NAIC # 6806KO30786 WWWTheABDteam.com INSURERA: Travelers Property Casualty Co of America 25674 INSURED Whitlock & Weinberger Transportation, Inc. dba: W Trans INSURER B: Hartford Casualty Insurance Company 29424 jNSURERc: Admiral Insurance Company 24856 INSURER D: 490 Mendocino Ave. Suite 201 Santa Rosa, CA 95401 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 66535622 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDNYYY LIMITS A f COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCURA 6806KO30786 1/31/2022 1/31/2023 EACHOCCURRENCE $2000000 ABED PREMISES Ea occurrence $1 000 000 MED EXP (Any one person) $5000 PERSONAL &ADV INJURY $2000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PES LOC GENERALAGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG $4,000,000 $ OTHER: A AUTOMOBILE LIABILITY BA3R944163 1/31/2022 1/31/2023 Ea acccidentSINGLELIMIT $1000000 ANY AUTO BODILY INJURY (Per person) $ OWNED I SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON-OWNEDPROPERTYDAMAGE AUTOS ONLY AUTOS ONLY r Per accident $ $ A UMBRELLALIAB f OCCUR CUPlTO04998 1/31/2022 1/31/2023 EACHOCCURRENCE $4,000,000 AGGREGATE $4 000 000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A 57WECAP8EKT 1/31/2022 1/31/2023STATUTE OTH E.L. EACHACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability E000005341602 1/31/2022 1/31/2023 $5M per claim/$5M agg. $25K ded per claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: W -Transect #LAH002 — Foothills Nature Preserve The Town of Los Altos Hills, its elective and appointed officers, employees and volunteers are additional insured as respects general liability per the attached endorsement form. 30 days notice of cancellation applies to the general liability per the attached form. IiCR r Ir iI ,A r C rIVLUCr% GANUtLLA I IUN Town of Los Altos Hills 26379 Fremont Road Los Altos Hills CA 94022 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 Rod Sockolov U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 66535622 1 22/23 GL AU XS WC Prof Cyber I Vickie Fogleman 1 1/31/2022 12:28:26 PM (PBT) I Page 1 of 4 This certificate cancels and supersedes ALL previously issued certificates. 6806xo30786 /m/2022 COMMERCIAL GENERAL LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following isadded 0oSECTION U—WHO |S AN|NSURED: Any person or organization that in a "written contract requiring insurance" to include as anadditional insured onthis Coverage Part, but: a. Only with respect 0oliability for "bodily irjur/'. "property damage" or"personal )njuryr;and h. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of"your work" to which the "written contract requiring insurance" app|ies, or in connection with premises owned byorrented toyou. The person or organization does not qualify as an additional insured: c. With respect to the independent acts or omissions ofsuch person ororganization; or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract oragreement. The insurance provided tosuch additional insured islimited asfollows: e. This insurance does not apply on any basis to any person or organization for which coverage asanadditional insured specifically is added by another endorsement to this Coverage Part, t This insurance does not apply to the rendering of or failure to ,ender any "professional services". g. |nthe event that the Limits ofInsurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the 11wh8en contract requiring insurance", the insurance provided to the additional insured shall belimited tothe limits ofliability required bythat "written contract requiring insurance". This endorsement does not increase the limits of insurance described in Section U| — Limits [fInsurance. h. This insurance does not apply to "bodily injury" or"property damage" caused by "your work" and included in the "products - completed operations hazmvd" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insunad, and than the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph �a. of SECTION K/ — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided tothe additional insured is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basin, that is available to the additional insured for m loss we cover. However, if you specifically ogree in the "written contract requiring insurance" that this insurance provided tothe additional insured under this Coverage Part must apply on m primary basis or primary and non-contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organizations as anomed insured for such |oss, and we will not share with the other insurance, provided that: (1) The "bodily injury' or "property damage" for which coverage issought occurs; and (2) The "personal injury" for which coverage is sought arises out ofan offense committed; after you have signed that "written contract requiring insurance". But this insurance provided to the additional insured sd|| is excess over valid and collectible other insunance, whether phmary, excess, contingent oron any other basis, that is available to the additional insured when that person or organization is on additional insured under any other insurance, C8D381OB15 C 20mThe Travelers Indemnity Company. All rights reserved. Includes the copyrighted muterialmInsurance Services Off ice, |nc..with its permission ����, 1 �*,s AU XS ��c�= / ��m � *�, / �v 2 of 4 Page 1of 2 COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in effect; and e. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. Includes the copyrighted m aterial of Insurance Services Office, Inc., with its permission 66535622 1 22/23 GL AU X5 WC Prof Cyber 1 Vickie Fogleman 1 1/31/2022 12:28:26 PM (PST) I Page 3 of A This certificate cancels and supersedes ALL previously issued certificates. CG D3 81 09 15 POLICY NUMBER: 6806KO30786 ISSUE DATE: 1/31/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY CANCELLATION: SCHEDULE Number of Days Notice: WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice: PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OR NONRENEWAL OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OR NONRENEWAL OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZ- ATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. PROVISIONS A. If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation. 30 30 B. If we do not renew this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of nonrenewal to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for When We Do Not Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal. IL T4 00 05 19 © 2019 The Travelers Indemnity Company. All rights reserved. 6653562.2 122/23 GL AU XS WC Pxof Cyber I Vickie Fogleman 1 1/31/2022 1'2:20:26 PM (PST) I Page 4 of 4 This certificate cancels and supersedes ALL previously issued certificates. Page 1 of 1