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HomeMy WebLinkAboutJ. Johnson & Company, Inc. 09.05.2024InHNr°n1 np In. r -r: CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/05/2024 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(ies) 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 831-475-4314 UVIS Donald R Hardy Agency P.O. BOX 308 NAMEACT Charmane Phillips, CSR PHONE 831-475-4314FAX 831-475-9524 (A/C, No, Ext): I (A/C, No): E-MAIL MAILADDRESS: charmanep@hardyins.com Capitola, CA 95010 David J. Martini, AAI 02/05/2025 EACH OCCURRENCE $ 11000'000 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Gemini Insurance Company 10833 PERSONAL & ADV INJURY $ 11000,000 INSURED J. Johnson & Company, Inc. 600 Calabasas Road INSURER B :United Financial Casualty 11770 State Compensation Ins Fund 35076 INSURER C: p INSURER D :Ohio Casualty Ins Co 24074 Watsonville, CA 95076 INSURER E: LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY NON-OWNED ONLY INSURER F: COVERAGES CERTIFICATE_ NUMRFR- REVISION NUMBER: Tfl`I.S IS TO �C�ER`y'`IFY THAT THE POLICIES �F .6i�lSU c,^ -,NCE LISTED BELOW.HAVE BEEN ISS'(9ED TOT E' IN �v'►� ED -NAM O`�/E I*OI; THE P^L.IC'� 'CR93D IN&CATED. 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X VIGPO26018 02/05/2024 02/05/2025 EACH OCCURRENCE $ 11000'000 PREMISETO S (Ea RENTED $ 100'000 MED EXP (Any oneperson) $ 5'000 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ® E C LOC OTHER: GENERAL AGGREGATE $ 29000'000 PRODUCTS - COMP/OP AGG $ 2,000'000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY NON-OWNED ONLY X 986236852 09/02/2024 03/03/2025 COMBINED SINGLE LIMIT 150005000 Ea accident $ X BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE VIFX002661 02/05/2024 02/05/2025 EACH OCCURRENCE $ 21000'000 X AGGREGATE $ 21000'000 DED RETENTION $ C WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/NH OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION DESCRIPTION OF OPERA IONS below N / A PSIC0701456101 08/09/2024 08/09/2025 STATUTE ER E.L. EACH ACCIDENT $ 19000,000 E.L. DISEASE - EA EMPLOYEE $ 11000,000 1000000 EA ./MIT ? � E.L.I,S: D Equipment Floater BM056694868 09/28/2023 09/28/2024 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Town of Los Altos Hills is named as Additional Insured per attached CG20100704 and CG20370704 as regard General Liabilit and as regards Commercial Auto. y g TOWN LG2 Town of Los Altos Hi I Is 26379 Fremont Road Los Altos Hills, CA 94002 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: VIGPO26018 VE 0184 12 13 Insured Name: J. Johnson & Company, Inc. Number: 19 Effective Date: 0210612024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, DESIGNATED CONSTRUCTION PROJECTS(S) GENERAL AGGREGATE LIMIT - SUBJECT TO A MAXIMUM AGGREGATE This endorsement modifies insurance provided under the following: Commercial. General Uability. Coverage Part. SCHEDULE Designated Construction Project(s): All construction projects for which you have agreed in writing in a contract, prior to an occurrence that causes "bodily injury", "property damage" or "personal and advertising injury", to provide project specific limits, A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" nces" under Section I — Coverage A, and for all medical expenses caused by accidents under Section I --Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General 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 "bodi.ly.inj,ury" or "property damage" included in the "products -completed operations 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 damages or. under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. VE 01 84 12 13 Page 1 of 2 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. 6. All payments under this endorsement are subject to the Maximum Aggregate Limit of: $ 51000,000 The Maximum Aggregate Limit, is the most we will pay under this endorsemeht regardless of the number of Designated Construction Project General Aggregate. Limits. The Maximum Aggregate Limit is not available to pay for damages or expenses other than as set forth in the endorsement. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I — Coverage A, and for all medical expenses Caused by. accidents under Section I — Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 10 Any payments made under Coverage A for damages or under Coverage C for medical 'expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed op ' erations hazard" will reduce the Products -completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated 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 deviate 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. VE 01 84 12'13 Page 2 of 2 Policy Number;VIG.P02601:8 CG 2010 0413 Insured Name: J. Johnson & Company, Inc. Number: 40 Effective Date: 02/05/2024 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) I Or Organization (s): Location(s) Of -Covered Operations Any person or organization when you have agreed All locations for which you have agreed in a written in a written and executed contract prior to an and executed contract prior to an "occurrence." 11 It occurrence , that such person or organization be added as an additional insured on your policy. Information required -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", "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 provide for such additional insured. 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: I 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 20 10 04 13 @Insurance Services Office, Inc., 2012 Page 1 of 2 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: I. Required by the contract or agreement; or 2. Available under the. applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG- 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 Policy Number: VIGPO26018 CG 20 37 0413 Insured Name: J. Johnson & Company, Inc. Number: 42 Effective Date: 02/06/2024 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s):. Operations Any person or organization when you have agreed All locations and completed operations for which in a written and executed contract, prior to an you have agreed. in a written and executed "occurrence", that such person or organization be contract prior to an "occurrence." added as an additional insured on your policy. Information required 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 additiontil 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 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 Q Insurance Services Office, Inc., 2012 Page 1 of 1