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Home My WebLink AboutInsurance Certificate: Scelzi Enterprises, Inc. SCELENT-01BLOOSIGIAN DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/5/2024 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). CONTACT License # 0E02096 Blair Loosigian PRODUCER NAME: PHONEFAX DiBuduo & DeFendis Insurance Brokers, LLC (A/C, No, Ext):(A/C, No): 6873 N. West Ave, Ste 101 E-MAIL blair.loosigian@dibu.com Fresno, CA 93711 ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # Fireman's Fund Insurance Co.21873 INSURER A : INSURED American Automobile Insurance Co21849 INSURER B : Zenith Insurance Company13269 INSURER C : Scelzi Enterprises, Inc. 2286 E. Date Ave. INSURER D : Fresno, CA 93706 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 100,000 CLAIMS-MADEOCCUR X USC0157952405/1/20245/1/2025 $ PREMISES (Ea occurrence) X 5,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 X POLICYLOC PRODUCTS - COMP/OP AGG$ JECT OTHER:$ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY $ (Ea accident) X ANY AUTO SCV00974924015/1/20245/1/2025 BODILY INJURY (Per person)$ X OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED (Per accident)$ AUTOS ONLYAUTOS ONLY $ 10,000,000 A XX UMBRELLA LIABOCCUR EACH OCCURRENCE$ USC01183324U5/1/20245/1/2025 10,000,000 EXCESS LIABCLAIMS-MADE AGGREGATE$ DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION C X STATUTEER AND EMPLOYERS' LIABILITY Y / N M12255073/1/20243/1/2025 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A Y OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Garage & DealersSCV00974924015/1/20245/1/2025 Comp/Coll $500 Ded6,000,000 B Physical DamageSCV00974924015/1/20245/1/2025 Comp/Coll $500 Ded6,000,000 B DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City, its officers, agents, volunteers and employees are named as additional insured with respect to General Liability per attached form CG71930319 and Auto Liability per attached form CA70181014. Contractor's insurance coverage will be primary insurance with respect to City, its officers, agents, volunteers and employees per attached form CG71930319 (General Liability) and CA71060717 (Auto Liability) and any insurance or self-insurance maintained by the City will be in excess of Contractor's insurance and not contributory with it. Contractor will furnish certificates of insurance and endorsements to City prior to City's execution of this Agreement. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main St. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD C.Additional InsuredCoverage and Waiver ofSubrogation 1.FormCA0001(ifattachedtothispolicy), SectionII–Covered AutosLiabilityCoverage,A. Coverage, 1.WhoIsAn Insured,thefollowingisaddedasiteme.;and formCA0020(if attached tothispolicy), SectionII–Covered AutosLiabilityCoverage,A. Coverage, 1.Who IsAn Insured;thefollowingisaddedasitemg.: Anypersonororganizationwithrespectto theoperation,maintenance,oruse,ofacovered auto,providedthatyouandsuchpersonororganizationhaveagreedunder anexpressed orwrittenagreement,orawrittenpermit issuedto provisioninawritteninsuredcontract youbyagovernmental orpublicauthority,toaddsuchperson,organization,or governmental orpublicauthoritytothispolicyasaninsured. However, suchperson or organization isaninsured: (1)Onlywithrespecttotheoperation, maintenance,oruse,ofacoveredauto;and (2)Onlyforbodilyinjuryorpropertydamagecausedbyanaccidentwhichtakes place after: (a)You executed the insured contractorwrittenagreement;or (b)Thepermithasbeenissuedtoyou. 2.FormCA0001(ifattachedtothispolicy), SectionIV-BusinessAuto Conditions, A. Loss Conditions,item5.;andformCA0020 (ifattachedtothispolicy),SectionV-MotorCarrier Conditions,A.LossConditions,item 6.;thefollowingisadded: WaiverofSubrogation Ifrequiredbya: a.Writteninsuredcontractorwritten agreementexecutedpriortotheaccident;or b.Writtenpermitissuedtoyou byagovernmentalorpublicauthoritypriortothe accident; wewaiveanyrightofrecoverywemayhave againstanypersonororganizationnamedin suchcontract,agreementor permit, because ofpaymentswemakeforinjuryordamage arisingoutoftheownership,maintenanceor useofacoveredauto. AutoMedicalPayments-IncreasedLimit D. For eachcoveredauto describedinthe Declarations or shown in the Schedule ashaving AutoMedicalPaymentsCoverage,theMedicalPaymentsLimitofInsuranceforthoseautosis revised tothegreaterof: 1. $5,000;or 2. ThelimitshownintheDeclarations. HiredAutoPhysical Damage Coverageand Loss of Use Expenses E. Hired Auto Physical Damage Coverage CA7018 10-14 Page 2of 10 Copyright ©2014Allianz Global Risks US Insurance Company. 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