Loading...
HomeMy WebLinkAboutAllStar Plumbing Corporation 01.10.2024O 04/04/2Q24i112:53 PM 14154847063 .4 16509413160 pg 3 of 13 0 CERTIFICATE OF LIABILITY INSURANCE �,...•-� DATE (�MIODYVYY3��o�v 1/10/2024 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(iss) 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 IFAX NAME; Jeff Tatro OnePoint Business & Insurance Services PHONE (4.08) 250-2100 --[(N91: (408)260-2e10 1038 Leigh Ave 100B E-MAIL - ADDRESS; ,eft . tatrQ@®1epOltltbvEalne351.Y181JrafaG4� . CAQi INSURERS AFFORDING COVERAGE NAIL 0 INSURER A. GUIDEONE NATIONAL INSURANCE COMPANY 14167 San Jose Chi 95126 INSURED INSURER B : United Financial Casualty C2Many 11770 AllStar Plumbing Corporation INSURER C : State CoMpensation Fund of California 35076 INSURER 326 Phelan. Ave ISA -D INSURER E INSURER F San Jose CA 95112 COVERAGES CERTIFICATE NUMBER: GL 2024 - 2025 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 CONTRACTOR 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 SUER POLICY NUMBER POLICY EFF M1DD PC1UCY EXP MWDDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110000000 A CLAIM9,-MADE� OCCUR DAMAGI TO RENTED 1000000 PREMISES (Ea occurrence $ .MED EXP (Any one person) $ 5, 000 X Y 7OR10004803CA 1/1/2029 2./1/2025 Li PERSONAL & ADV INJURY S 1, 000, 000 GENERAL AGGREGATE $ 2, 000, 000 GEN`LAGGREGAtE LIMIT APPLIES PER. X POLICY � PRO - LOC PRODUCTS - COMPIOP ACG $ 2 , 000 , 000 ?ger Fra $ 11000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aecident $ 1, 000, 400 .BODILY INJURY (Per person) $ B X ,ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED AUTOS SCHEDULED AUTOS AUTOS 9' 4523287 04/01/2024 04/01/2025 NOWOWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident)$ F, ninauredIUNerhsur$dj Motorist $ 1t000,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATI+ $ ------ ----- - XCESS-LIAR--- bED LlRETENTION $ $ WORMERS COMPENSATION X PERR. AND EMPLOYERS' LIABILITY Y 1 N E.L. EACH ACCIDENT $ 11000,000 ,ANY PROPRIETOWPARTNER/EXECU71yr- 9356998-2024 04/01/2024 04/01/2025 OFFICER/MEMBER EXCLUDED? Ly—i N / A C (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1 , 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L.. DISEASE - POLICY LIMIT $ 1 000 oo0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 104, Additional Remarks Schedule, may be attached If more space Is required) Project: All California Operations Certificate of Insurance naming The Town of Los Altos Hills and its Members, officers, directors, agents, volunteers, employees, and officials as an Additional Insured as rewired by written contract with respect to work performed by insured. Excess .liability follows ford. *30 Day Notice of Cancellation for Non -Payment of Premium CERTIFICATE HOLDER CANCELLATION (650)941-3160 Town of Los Altos Hills 26379 Fremont Road Los Altos bills, 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 ,,ef,L T2tL,10/CF 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401) 04/04/2024,12:53 PM 14154847068... )16509413160 pg 4 of 13 POLICY NUMBER: 70K100048 03 00 CA COMMERCIAL GENERAL LIABILITY CG 20 10 1219 (Blkt) 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 Additional Insured Person(s) Or or nization(s) Location(s) Of Covered 0 orations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy Insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this Insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. -1-n-formafion--required--to---com e -this Schedule, --if --not-shown- above --will--be shown--'In--the--Declar-ation-s'------- A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "Personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to p 'de for such additional insured. rovi B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work,, on the project (other than 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 CG 2010 1219 (Blkt) @ Insurance Services Office, Inc., 2018 Page 1 of 2 04/04/2.024 12:53 PM 14154847068 --->16509413160 pg 5 of 13 2. That portion of "your work" out of which the Injury *or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract. or agreement, the most we will pay on behalf of the additional insured is -the amount of insurance: 1. Required by the contract or agreement, or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 @ Insurance Services Office, Inc., 2010 CG .20 10 12 19 (BIkt) 04/04/2024 12:53 PM 14154847068 ... >16509413160 pg 6 of 13 POLICY NUMBER: 70K100048 03 00 CA COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following. - COMMERCIAL GENERAL LIABILITY COVERAGE PART PROD UCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization s) Location And Description Of Completed Operations. Blanket as required by written contract and Primary Insurance applies: It is agreed that such effective during the policy period as stated on the insurance as is afforded by this policy for the policy declarations. benefit of the additional Insured shown shall be primary Insurance, and any other insurance maintained- by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured,, provided however that this Insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured -'s negligence or solely the additional insured's responsibility,, -This-ins-urance---also--does--not apply- to any -structure -- intended to be occupied as a private residence, not including apartments. Information regaired to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional 'Insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or "agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement" or I CG 20 371214 (Blkt) @ Insurance Services Office, Inc., 2018 Page 1 of 2 G 04/04/2024 12:53 PM 14154847068 --->16509413160 pg 7 of 13 2, Available under the applicable limits of insurance; whichever Is less, This endorsement shall not increase the applicable firnits of 'insurance. Page 2 of 2 @Insurance Services Office, Inc., 2018 CG 20 37 12 19 (Blkt) Q 04/04/2024 12:53 PM 14154847068 ..> 16509413160 pg 8 of 13 POLICY NUMBER: ` 0KI0004B 03 00 C1 COMMERCIAL GENERAL LIABILITY CO 24 04 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS Name Of Person(s) Or Organization(s): Blanket as required by written contract and effective during the policy period as stated on the policy declarations. Information required to cam Tete this schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 9. Transfer Of Rights of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organiza-tion(s) shown in the Schedule above. CG 24 04 1219 (Blkt) @ Insurance Services Office, Inc., 2018 Page 1 of 1 Q 04/04/2024 12:53 PM 14154847068 ... >16509413160 pg 9 of 13 POLICY NUMBER: 70KI00048 03 00 CA COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 (Away) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modifies Insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE PART I Designated Construction Project(s): This endorsement applies only to your projects away from premises owned by or rented to you. information required to complete this Scheduler if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obli- gated to pay as damages caused by "occurrences" under Section I — Coverage A, and for all medical expenses caused by accidents under Section I — Goverage-C--,-which-can ---be---a-tt-ributed--Only-to--ongoing- - - operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project Gen- eral Aggregate Limit applies to each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of, "bodily Injury" or "property damage" included in the "products -completed op- erations hazard",and for medical expenses under Coverage C regardless of the number of: a. Insureds-, b. Claims made or "suits" brought, or c. Persons or organizations making claims or bringing "suits 3. Any payments made under Coverage A for dam- ages or under Coverage C for medical. expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated con- struction -prejecti-Such- payments----shall-not --reduce the General Aggregate Limit shown in the Decla- rations nor shall they reduce any other Designat- ed Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. CG 25 03 05 09 (Away) 0 Insurance Services Office, Inc., 2008 Page 1 of 2 04/04/2024- 12:53 PM 14154847068 ... >16509413160 pg 10 of 13 I B. For all sums which the insured becomes legally obli- gated to pay as damages caused by "occurrences"' under 6ection I — Coverage A, and for all medical expenses caused by accidents under Section I — Coverage C, which cannot be attributed only to ongo- ing operations at a single designated construction project shown In the Schedule above: 1. Any payments made under Coverage A for dam- ages or under Coverage C for medical expenses shall reduce the amount available under the Gen- eral Aggregate Limit or the Prod ucts-corn pleted Operations Aggregate Limit, whichever is appli- cable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "prod. acts -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard" will reduce the Prod- ucts -completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Desig- nated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or If the authorized contracting parties de- viate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III — Limits Of insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 @ Insurance Services Office, Inc., 2008 CG 25 03 05 09 (Away") G 04/04/2024 12:53 PM 14154847068 . ---) 16509413160 pg 11 of 13 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAWER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone bable for an injury covered by this policy. We will not enforce our right 0 %1 against the person or organization named in the Schedule, but this, waiver applies only with respect to bodfly m'jury arising out of the operations described in the Schedule where. you are required by a written contract to obtain this waiver from us. This endorsement shall. not operate directly or indirectly to benefit anyone not named in the Schedule. Die premium for this endorsement is shown iin the Schedule. Schedule 1. () , Specific Waiver Name of person or organization (X) Blanket Waiver Any person or orgPiJ.Zation for whom the Nalned Insured has agreed by written contract to furnish. this waiver. 2. Operations: 3. Premium The premium charge for this endorsement shall be 2% percent of the premium developed on payroll in * i i connection with work performed for the above person(s) or organization(s) arisin. g out of the operations described. 4. Minimum premium 5. Advance Premium All other terns and. condition. of the policy remain unchanged. ow js-requdired--to-beco hete -only-when-th-i-s-endarsenianvis issued subsequent to _t effective date.) Effective April to 2024, this endorsement f6mis part of Policy No. 9356998-2024 Of Issued to: Allstar Plumbing Corporation A 04/04/202A 12:53 PM 14154847068 --�16509413160 pg 12 of 13 POLICY NUMBER:974523287 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, DESIGNATED INSURED This endorsement modifies insurance provided under the fo0owing4 BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect t6 coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement, This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form, This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. k Endorsement Effective; Countersigned By: 04/2512024 Named Insured: AllStar Plumbing Corporation c, Authorized Re resentative Name of Person(s) or Organization(s) ,--Blank-et-as-required-by--written-contract-and/or agreement (If no entry appears above, Informaflon 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 11 of the Coverage Form. CA 20 48 02 99 0 Insurance Services Office, Inc.,, 1998 Din §urgLice -2 i.'es-office , Inc, 0 04/04/2024 12:53 PM 14154847068 --)16509413160 pg 13 of 13 POLICY NUMBER: 974523287 COMMERCIAL AUTO CA 04 4410 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following', AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below, lamed insured: AIIStar Plumbing Corporation I indorsement Effeetive Date.: 04/25/2024 "M Name(s) Of Person(s) Or Organ Ization(s); WHERE REQUIRED BY VRI TTEN CONTRACT -1-nfQr- mati -ired-to- complete--this--Sch-.edu-I if-not-S.hown--above.-w-ill-be--sh-ow-n--in-th-e--D-e-olarations. -.-. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the "loss" under a contract with that person or organization. CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 O 04/04/2024,12:53 PM 14154847068 -416509413160 pg 1 of 13 TO Allstar Plumbing Renewal certificates Number, of pages 13 Thank you, Tony Andrade CA #0'24813 OnePoint Business & Insurance Services An ISU Insurance Agency Network Member 1038Leigh Ave ,#100B San Jose,, CA 95126 408280-2100ex1008 -4-0-8--S--8-7---9-0--7-7-_Ce l--l--*---B-est--n-u---m--be-r- 408-280-2110 (Fax) tony.andrade@onepointbusinessinsurance .com<mailto:to ny.andrade@onepointbusinessinsurance.com> [cid: imageoo1.png@O1DA868E . FB249E501 IMPORTANT : This communication, together with any attachments hereto or links contained herein, is for the sole use of the intended recipient (s) and may contain information that is confidential or legally protected. If you are not the intended recipient, you are hereby notified that any review, redisclosure, copying, dissemination, distribution or use of this communication is STRICTLY PROHIBITED., If you have received this communication in error, please notif y the sender immediately by return e-mailmessage and delete the originaland all copies of the communication, along with any attachments hereto or links herein, from your system.