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Home My WebLink AboutCertificate of InsuranceSYSEENE-01 INSUSERVE A� o CERTIFICATE OF LIABILITY INSURANCE DAT/19/2DIYYYY) TYPE OF INSURANCE 1 /19/2022 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 License # OG66614 One Risk Group, LLC DBA: One Risk Management & Insurance Services 6701 Koll Center Parkway, Suite 350 Pleasanton, CA 94566 CO TACT NA E• PHONE FAX A/C, No, Ext): (925) 226-7350 (AIC, No):(925) 226-7380 ADD IL s: Certificates@oneriskgroup.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Fire Insurance Co of Hartford 20478 3/1/2022 INSURED INSURER B: Continental Insurance Company 35289 INSURER C: Berkshire Hathaway Homestate Ins Co 20044 Syserco Energy Solutions, Inc. 215 Fourier Avenue Fremont, CA 94539 INSURER D:: PERSONAL &ADV INJURY 1+000,000 INSURER E: INSURER F: COVERAGESt^E'RTIFICATF NUMBER: 0ev1Q1e%K+ nn usn�M. 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. ILSR TYPE OF INSURANCE ADSD SU WVD ER POLICY NUMBER POLICY EFF MMIDDIY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X 6080381793 3/1/2021 3/1/2022 EACH OCCURRENCE 1+000+000 DAMAGE TO RENTED 100,000 PREMI ES Ea occurrence $ MED EXP (Any oneperson) $ 15,000 PERSONAL &ADV INJURY 1+000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X PE LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 6080381809 3/1/2021 3/1/2022 Ee aBINED SINGLE LIMIT $ 1,000,000 X BODILY INJURY Per erson BODILY INJURY Per accident AMAGE $ Pe0accid yn ty Ipp AURTOS ONLY AUTOS ONY L EACH OCCURRENCE 10+000,000 B X UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS -MADE 6080381812 3/1/2021 3/1/2022 AGGREGATE $ DED I X I RETENTION $ 10,000 Aggregates 10,0001000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE 0 FIC.R/MEMBER EXCLUDED? (Mandatory In NH) DESCRIP de ON OF OPERATIONS below N / A SYWC245500 - _ 3/'1/2021 3/1/2022 — PER OTH- STATUTE E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1+0000000 - - -- - 1,000,000 E.L, DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job #4021EP21MU Re: SES Resiliency — Battery Storage System. Town of Los Altos Hills is additional insured to the extent provided in the attached form. Primary wording to the extent provided in the attached form. Town of Los Altos Hills 23679 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 H%.Urcu AD iwI01UJ) U 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT ��J&«��X�D��red.Om,ners,Aessees��r — — `�� tm�� l�� K�mf�vnt��~VV�". . K��W~~.�.~��K�==°� | Operations Coverage Endorsement This endorsement modifies insurance provided under the : COMMERCIAL GENERAL LIABILITY COVERAGE PART |(isUnderstood and agreed aufollows: i WHO 18 AN INSURED is amended to include as an Insured any person or organization whorn you are required by written contract to add as all additional insured oil this coverage part, but only with respect to liability for bodily Injury, property darriage or personal and advertising Injury caused in whole or in pail by Your acts or ornissions, or the acts nrVmiWoionoo[those acting unYour behalf: A. inthe porfOnnGDc$ofYour ongoing opeu�ionsGU�<�Such ' '— B. inthe pnrfonn8noaufyour work Subject to �uoh written nncontract, buionly with respect h/bodily injury ur property dmmagaincluded inthe prod ucta~cwnplate doperations hazard, and only if: 1. the written contract requires YOU to Provide the additional insured such coverage; and 2, this coverage part provides such coverage. U. But ifthe written ooOtnxctrequinaw A. additional insured coverage under the 11-86 edition, iO�edition, m1U-01 edition ofCG20U.orUnder the 10- 01 8, additional insured coverage with "arising Out of" language; or C. additional insured coverage hVthe greatest extent permissible bylaw; then paragraph |. above iedeleted inits entirety and replaced bythe following: WHO IS AN INSURED is amended to include as an Insured ally person or organization whom you are required by written contract to add as an additional insured oil this coverage part, but only with respect to liability for bodlly Injury, property dainage or personal and advertising Injury arising out of your work that is subject to Such Written contract. U1. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer Will not provide such additional insured with: A. coverage broader than reClUiredbythe written contract; m B. allohedhnKof�uurenoethan equ�udbymawdtb»nuOn�ocL—�— � IV. The insurance granted bythis ev]owomentVuthe additional insured does not apply k`bodily Injury, property dnmaga, orpersonal and advertising in]ury Wising Out Of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, mppmving, or failing to prepare or approve 0apu.shop drawings, opinioAy, rupodu, oumayu. field orders, change orders of- drawings and specifications; and %. Supervisory, inspection, architectural urengineering activities; nv B. any prernises or work for which the additional insured is specifically listed as all additional insured oil another endorsement attached tothis coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is arnended to odd the following, Which oupemadan any provision hothe contrary |nthis Condition or elsewhere inthis coverage part: CNA75079XX (10-16) Policy No: 60803B3.793 Page 1 of 2 Nat.'] Pi.re in-, Co of HarLford Effective Date: 03/01/2021 Insured Namm:SYSKRcV 8088G, eo[.UTzn0S :1 NC CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Prod ucts-Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured isanarned inGuned.this insurance isphmaryNandwU|UNueekconthbuUonhomoudhoUuprh)smmnne`providmdthsdavvdtten contract requires the inaunanceprovided bvthis policy (obe: 1' primary and non-contributing with other insurance available inthe additional insured; or 2primary and to not seek Contribution frorn any other insurance available to the additional insured. But except eospecified above, this inuuxenuawill b$excess 0fall other insurance available k/the additional insured V1. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS i8amended as follows: The Condition entitled Duties In The Event of Occurrence, OffOnSO, Claim 0rSLIjt is amended with the addition of the : Any additional insured pursuant bthis endorsement will aosoon mapracticable: 1' give the Insurer written notice of any claim, or any occurrence or offense which rnay result in a claim; 2. send the insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, orsettlement ofthe claim; and 1 make available any other insurance, and tender the defense and indemnity oYany claim hoany other insurer or self-inSUrer, whose policy of, program applies to a loss that the Insurer covers Linder this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply toinsurance onwhich the additional inoumdinenumodinmured. -rhe insurer has 110 CILIty to defend of- indernnify an additional insured Linder this endorsement Until the Insurer receives written notice o/oclaim fru0the additional insured. VII. Solely with respect to the insurance granted by this endorsernent, the section entitled DEFINITIONS isamended b> add the following definition: Written contract means awritten contract of, written agreement that requires YOU homake uperson ororganization an additional insured on this coverage part, provided the contract or agreement: A^ iscurrently bleffect orbecomes effective dohnQthe term o(this policy; and EL was executed prior to, I. the bodily Injury of, property damage; or 2. the offense that caused the personal and advertising Injury; for which the additional |nuumUseeks coverage. Any coverage granted by this endorsement shall apply Solely to the extent permissible by law. All other terms and conditions nfthe Policy remain Unchanged. I nis enclorserrient, micli tornis a pail of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and ,expires concurrently with said CNA75079XX (10-16) PolicyNo: 608038179.3 Page 2 of 2 o"pyxgh/CNA All Rights nvsowp Includes copyrighted mm°no/mmomunc"services mow.u".with its nermmvw^.