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HomeMy WebLinkAboutInsurance Certificate: TruView BSI LLCTRUVBSI-01 VPITTM CERTIFICATE OF LIABILITY INSURANCE DATE 'ZAIlDl1'YYY) eIanl�n')e 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(sl. PRODUCER HUB International Insurance Services Inc. 548 W Cromwell Avenue Suite 101 Fresno, CA 93711 INSURED TruView BSI, LLC 225 Broadhollow Road Suite 304 Melville, NY 11747 F: U COVERAGES CERTIFICATE NUMBER: 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 POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X X 51GLO13241-231 8/1/2023 8/1/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500,000 MED EXP (Any one 10,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG 3,000,000 E AND 0 Included OTHER: A AUTOMOBILE LL42ILFTY COMBINED SINGLE LIMIT $ BODILY INJURY Perperson) $ ANY AUTO 51GLO13241-231 8/1/2023 8/1/2024 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS X PROPERTY :AMAGE $ Ep AiJRTOS ONLY X AUTOS ONLY �OAMirea irxdw X NOA/Hired w GL 1,000,000 A X UMBRELLA X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE 4,000,000 EXCESS LUIB CLAIMS -MADE 51 E0004193-231 8/1/2023 8/1/2024 DED I X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) byes, describe under DESCRIPTION OF OPERATIONS below N / A X 16WEC!YSC2P 8/112023 8/1/2024 - X PER OTH- E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 11000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 A General Liability 51GLO13241-231 8/1/2023 8/112024 Ind w GL/Limit 1,000,000 C Cyber/Privacy/Networ AB-6748201-03 41IM024 4/15/2025 Limit 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ashland, Oregon, and its elected officials, officers and employees are Additionally Insured on policies with respect to contractors services provided under this contract. Insurance is Primary and non-contributory. Notice of Cancelation applies. Endorsements Attached: CG2038 0413, ECG24520 0805, ECG245200805, ECG24522 0402, Workers Comp Endorsement to follow. City of Ashland 90 N. Mountain Ave. Ashland, OR 97520 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 No. 51GLO13241231 COMMERCIAL GENERAL LIABILITY CG 20 38 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who Is An Insured is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: a. 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 38 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 b. 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: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 38 04 13 Policy No. 51 GLO13241231 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AND NON -OWNED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE* Insurance is provided only with respect to those coverage's for which a specific premium charge is shown: Coverage Non -Ownership Liability Hired Auto Liability Additional Premium 50.00 50.00 *Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. A. HIRED AUTO LIABILITY The insurance provided under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY applies to "bodily injury" or "property damage' arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. B. NON -OWNED AUTO LIABILITY The insurance provided under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. 1. With respect to the insurance provided by this endorsement: a. Exclusions 2.c., 2.e., 2.g., 2.h., 2.j., 2X, 2.1., 2.m., 2.n. and 2.o. under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY are deleted. b. Exclusion 2.p. and 2.q. under COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE LIABILITY are added: p. "Bodily injury": (1) To an "employee" of the insured arising out of and in the course of employment by the insured;or (2) To the spouse, child, parent, brother or sister of that "employees" as a consequence of (1) above. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share damages with or repay someone else who must pay damages because of injury. ECG 04 509H 1099 Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission Copyright, Insurance Services Office, Inc., 1999 This exclusion does not apply to: (1) Liability assumed by the insured under an "insured contract; or (2) `Bodily injury' arising out of and in the course of domestic employment by the insured unless benefits for such injury are in part either payable or required to be provided under any workers compensation law. q. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. 2. SECTION II —WHO IS AN INSURED is deleted and replaced by the following: Each of the following is an insured under this insurance to the extent set forth below: 1. You; 2. Any other person using a "hired auto' with your permission; 3. With respect to a "non -owned auto', any partner or "executive officer" of yours, but only while such "non -owned auto' is being used in your business; 4. Any other person or organization, but only with respect to their liability because of acts or omissions of an insured under 1., 2. or 3. above. None of the following is an insured: 1. Any person engaged in the business of his or her employer with respect to 'bodily injury" to any co -employee of such person injured in the course of employment; 2. Any partner or "executive officer" with respect to any "auto' owned by such partner or officer or a member of his or her household; 3. Any person while employed in or otherwise engaged in duties in connection with an "auto business"; 4. The owner of less (of whom you are a sub -lessee) of a "hired auto' or the owner of "non - owned" auto' or any agent or "employee" of such owner of lessee; 5. Any person or organization with respect to the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. 3. SECTION III — LIMITS OF INSURANCE The General Aggregate Limit shown in the Declarations does not apply to the insurance provided by this endorsement. 4. The following definitions apply: "Auto business" means the business or occupation of selling, repairing, servicing, storing or parking "autos". "Hired auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your employees or members of their households, or from any of your partners or "executive officers". "Non -owned auto" means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you are a partnership, a "non -owned" does not include any "auto' owned by any partner. The following is added to the definition of "insured contract': ECG 04 509H 1099 Page 2 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission Copyright, Insurance Services Office, Inc., 1999 g. "Insured contract' means that part of any contract or agreement entered into, as part of your business, by you or any of your "employees" pertaining to the rental or lease of any "auto'; An "insured contract' does not include that part of any contract or agreement: (1) That pertains to the loan, tease or rental of any "auto' to you or any of your "employees". If the "auto' is loaned, leased or rented with a driver; or (2) that holds a person or organization engaged in the business of transporting property by "auto' for hire harmless for your use of an "auto" over a route or territory that person or organization is authorized to serve by public authority. 5. OTHERINSURANCE The insurance provided by this endorsement is excess over any other valid and collectible insurance available to the insured. All other policy provisions apply. ECG 04 509H 1099 Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission Copyright, Insurance Services Office, Inc., 1999 Policy No. 51GL013241231 COMMERCIAL GENERAL LIABILITY ECG 24 520 08 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE (PRIMARY NONCONTRIBUTORY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Condition 4. Other Insurance of SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: a. Primary Insurance This insurance is primary except when b. below applies. If this insurance is primary, our obliga- tions are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method de- scribed in c. below, except that we will not seek contribution from any party with whom you have agreed in a written contract or agreement that this insurance will be primary and noncontribu- tory, if the written contract or agreement was made prior to the subject "occurrence" or of- fense. b. Excess Insurance This insurance is excess over: (1) Any of the other insurance, whether prima- ry, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Build- er's Risk, Installation Risk or similar coverage for "your work"; (b) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "prop- erty damage" to premises rented to you or temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I — Coverage A — Bodily Injury And Property Damage Liability. (2) Any other primary insurance available to you covering liability for damages arising out of the premises or operations, or the products and completed operations, for which you have been added as an addition- al insured by attachment of an endorse- ment. When this insurance is excess, we will have no duty under Coverages A or B to defend the in- sured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other in- surance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insur- ance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self -insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method al- so. Under this approach each insurer contrib- utes equal amounts until it has paid its applica- ble limit of insurance or none of the loss remains, whichever comes first. ECG 24 520 08 05 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 ❑ with its permission. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this meth- od, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. ECG 24 520 08 05 Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 2 ❑ Used with its permission. Policy No. 51GLO13241231 COMMERCIAL GENERAL LIABILITY ECG 24 522 04 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Blanket Where Required by Written Contract; (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your operations or "your work" done under a written agreement that requires you to waive your rights of recovery. The written agreement must be made prior to the date of the 'occurrence". This waiver applies only to the person or organization shown in the Schedule above. ECG 24 522 04 02 Includes copyrighted material of Insurance Services Office, Page 1 of 1 ❑ Inc., with its permission.