&SJO4NJUI
-FO"TMBOJBO
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
E-MAIL
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
$
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A
(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
$
$
$
$
$The ACORD name and logo are registered marks of ACORD
11/17/2022
License # 0L72977
(925) 482-1000 (925) 482-1001
36056
Branagh Holdings, Inc
3800 Mt Diablo Blvd, Ste. 200
Lafayette, CA 94549
25453
12537
35076
A
1,000,000
X SF22CGLZ070S7IC 1/1/2022 1/1/2023 100,000
Deductible: $5,000 5,000
1,000,000
2,000,000
2,000,000
MAX AGGREGATE 5,000,000
1,000,000
B
X ACP3039386729 1/1/2022 1/1/2023
5,000,000C
X BTN2228339 1/1/2022 1/1/2023 5,000,000
0 D
X 906728522 8/1/2022 8/1/2023 1,000,000
1,000,000
1,000,000
RE: Phase I Project; Assessor's Parcel Number 70-156-44-7 Contractor's Pollution: $1M Each Pollution Condition/$2M General Aggregate City of Alameda, its City Council, boards, commissions, officials, employees, agents and volunteers are additional insureds as required by written contract.
Waiver of Subrogation applies WC. 30 Day Notice of Cancellation except 10 days for non-payment.
Named Insureds include: Branagh Development, Inc.; Cooso Cabana LLC; Momo's Rook LLC; Dreamers and Cultivators LLC; Z-Co LLC; Drumlin Alameda LLC
City of Alameda
2263 Santa Clara Avenue, Room 280
Alameda, CA 94501
BRANHOL-01 CDAVIS
Legacy Risk & Insurance Services
1850 Mt. Diablo Blvd., Suite 400
Walnut Creek, CA 94596
[email protected]
Navigators Specialty Ins Co
Nationwide Mutual Ins Co
United Specialty Ins. Co.
State Comp Insurance Fund
X
X
X
X
X
X
X
X
X
Real Estate Developers and Owners
Professional Liability Coverage Part
WCLANE P0003 CW (10/19) Page 5 of 16
2. a subsidiary;
3. an acquired entity;
4. a joint venture; or
5. a special purpose entity.
Employee means any past, present, or future:
1. person employed by an insured organization as, a permanent, part-time, seasonal, leased, or temporary employee, or any volunteer; or
2. partner, director, officer, or board member (or equivalent position) of an insured organization, but only while in the course of their performance of professional services on behalf of or at the direction of such insured organization.
Independent contractor means any person contracted by an insured organization to perform the same professional services as the insured organization, and whose income is reported to the Internal Revenue Service on Form 1099-MISC, but only while in the course of their performance of professional services on behalf of or at the direction of such insured organization.
Independent contractor does not include any subcontractors contracted by another independent contractor or an insured organization.
Additional insured means any project owner or client an insured organization has agreed in a written contract or agreement to add as an additional insured to a policy providing the type of coverage afforded by this Coverage Part, provided the contract or agreement:
1. is currently in effect or becomes effective during the policy period; and
2. was executed before the performance of professional services out of which the claim arises.
Coverage is available for additional insureds solely under Insuring agreement A. Real estate and property managers liability and/or Insuring agreement B. Construction and development services liability for claims:
a. alleging a negligent act, error, or omission in professional services performed by an insured organization or on an insured organization's behalf; and b. that remain pending against an insured organization along with such additional insured.
There will be no coverage under this Coverage Part for any liability arising out of the sole negligence of the additional insured.
IV. Defense and
settlement of
claims
Defense We have the right and duty to defend any covered claim, even if such claim is groundless, false, or fraudulent.
We have the right to select and appoint counsel to defend you against a covered claim.
Settlement We have the right to solicit and negotiate settlement of any claim but will not enter into a settlement without your consent, which you agree not to withhold unreasonably. If you withhold consent to a settlement recommended by us and acceptable to the party who made the claim, the most we will pay for that claim is the sum of:
1. the amount of our recommended settlement;
2. claim expenses incurred up to the date of our recommendation;
3. 50% of all claim expenses incurred after our recommendation; and
4. 50% of all damages in excess of the settlement amount recommended by us.
Additional insured
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