Cities Index.
Ardurra Certificate of Insurance.pdf

Bakersfield City Council
April 23, 2025

Document
Ardurra Certificate of Insurance.pdf
Meeting
April 23, 2025
Body
Bakersfield City Council
Pages
2
Original file
3.3 MB
Text extracted from the city's file for reading and search. Open the original on pub-bakersfield.escribemeetings.com. That file is the official record.

ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?

INSR ADDLSUBRLTR INSDWVD
PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext):E-MAILADDRESS:INSURER A :INSURED INSURER B :INSURER C :INSURER D :INSURER E :INSURER F :

POLICY NUMBERPOLICY EFFPOLICY EXPTYPE OF INSURANCELIMITS(MM/DD/YYYY)(MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIABEXCESS LIABWORKERS COMPENSATIONAND 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-MADEOCCUR $PREMISES (Ea occurrence)MED EXP (Any one person)$PERSONAL & ADV INJURY$GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$PRO-POLICYLOC PRODUCTS - COMP/OP AGGJECT OTHER: $COMBINED SINGLE LIMIT$(Ea accident)ANY AUTO BODILY INJURY (Per person)$OWNEDSCHEDULEDBODILY INJURY (Per accident)$AUTOS ONLYAUTOSHIREDNON-OWNEDPROPERTY DAMAGE$AUTOS ONLYAUTOS ONLY(Per accident)$OCCUR EACH OCCURRENCECLAIMS-MADEAGGREGATE$DEDRETENTION$ PEROTH-STATUTEERE.L. EACH ACCIDENTE.L. DISEASE - EA EMPLOYEE$If yes, describe underE.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGENAIC #

COMMERCIAL GENERAL LIABILITY
Y / NN / A(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE 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 PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:

CERTIFICATE HOLDERCANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
$
$$$$
The ACORD name and logo are registered marks of ACORD
4/10/2025
(703) 827-2277(703) 827-227925615Ardurra Group, Inc.1000 N.W. 57th Court, Suite 800Miami, FL 33126256232567420079 A 1,000,000XX630-5X4874351/1/20251/1/20261,000,000Contractual Liab.15,0001,000,0002,000,0002,000,0001,000,000B XX810-5X5583091/1/20251/1/2026 C XUB-5X4895571/1/20251/1/20261,000,000N 1,000,0001,000,000DProfessional Liab.42-EPP-306878-071/1/2025Per Claim/Aggregate2,000,000RE: L-208 TCP RemovalCity of Bakersfield is included as additional insured with respect to General Liability and Automobile Liability when required by written contract. General Liability includes Additional Insured coverage for On-Going & Completed Operations as required by written contract. General Liability and Automobile Liability are primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and when required by written contract. General Liability, Automobile Liability and Workers Compensation policies include a waiver of subrogation in favor of the additional insureds where permissible by state law and when required by written contract. A 30-day Notice of Cancellation will be issued for the General Liability, Automobile Liability, Workers Compensation and Professional Liability policies in accordance with policy terms and conditions.

City of Bakersfield1000 Buena Vista RoadBakersfield, CA 93311 ARDURRA-01KMCGUFFIN
Ames & Gough8300 Greensboro DriveSuite 980McLean, VA [email protected] Oak Fire Insurance Company A++ (XV)Phoenix Insurance Company A++, XVTravelers Property Casualty Company of America, A++, XVNational Fire & Marine Insurance Company A++ X X1/1/2026

X XXXXX

PROVISIONS
A. If we cancel this policy for any legally permitted
reason other than nonpayment of premium, and a
number of days is shown for Cancellation in the
Schedule above, we will mail notice of
cancellation to the person or organization shown
in such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for Cancellation in such
Schedule before the effective date of cancellation.

B. If we do not renew this policy for any legally
permitted reason other than nonpayment of
premium, and a number of days is shown for
When We Do Not Renew (Nonrenewal) in the
Schedule above, we will mail notice of
nonrenewal to the person or organization shown
in such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for When We Do Not
Renew (Nonrenewal) in such Schedule before the
effective date of nonrenewal.

C. If we add a material limitation on the coverage
provided by this policy, and a number of days is
shown for Material Limitation Of Coverage in the
Schedule above, we will mail notice of such
limitation to the person or organization shown in
such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for Material Limitation Of
Coverage in such Schedule before the effective
date of such limitation.

POLICY NUMBER:

ISSUE DATE: 01-01-25
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED PERSON OR ORGANIZATION – NOTICE OF

CANCELLATION, NONRENEWAL OR MATERIAL

LIMITATION OF COVERAGE PROVIDED BY US
This endorsement modifies insurance provided under the following:

ALL COVERAGE PARTS INCLUDED IN THIS POLICY

SCHEDULE
CANCELLATION:

WHEN WE DO NOT RENEW (Nonrenewal):

MATERIAL LIMITATION OF COVERAGE:

Number of Days Notice:

Number of Days Notice:

Number of Days Notice:

PERSON OR
ORGANIZATION:

ADDRESS:

IL T3 54 05 19 Page 1 of 1 © 2019 The Travelers Indemnity Company. All rights reserved.

Policy Number: 810-5X558309

COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSURED – PRIMARY AND

NON-CONTRIBUTORY WITH OTHER INSURANCE
© 2016 The Travelers Indemnity Company. All rights reserved.

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

Page 1 of 1 ends

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

PROVISIONS

1. The following is added to Paragraph A.1.c., Who
Is An Insured , of SECTION ll – COVERED
AUTOS LIABILITY COVERAGE:

This includes any person or organization who you
are required under a written contract or
agreement between you and that person or
organization, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, to name
as an additional insured for Covered Autos
Liability Coverage, but only for damages to which
this insurance applies and only to the extent of
that person's or organization's liability for the
conduct of another "insured".

2. The following is added to Paragraph B.5., Other
Insurance of SECTION IV – BUSINESS AUTO
CONDITIONS:

Regardless of the provisions of paragraph a. and
paragraph d. of this part 5. Other Insurance, this
insurance is primary to and non-contributory with
applicable other insurance under which an
additional insured person or organization is the
first named insured when the written contract or
agreement between you and that person or
organization, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, requires
this insurance to be primary and non-contributory.

Policy Number: 810-5X558309
POLICY NUMBER: ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

ALL COVERAGE PARTS INCLUDED IN THIS POLICY
CANCELLATION:

WHEN WE DO NOT RENEW (Nonrenewal):

MATERIAL LIMITATION OF COVERAGE:

SCHEDULE
Number of Days Notice:

Number of Days Notice:

Number of Days Notice:

ADDRESS:

PERSON OR
ORGANIZATION:

IL T3 54 05 19 Page 1 of 1

PROVISIONS

AS REQUIRED BY WRITTEN CONTRACT
DESIGNATED PERSON OR ORGANIZATION – NOTICE OF

CANCELLATION, NONRENEWAL OR MATERIAL

LIMITATION OF COVERAGE PROVIDED BY US
© 2019 The Travelers Indemnity Company. All rights reserved.

A. If we cancel this policy for any legally permitted
reason other than nonpayment of premium, and a
number of days is shown for Cancellation in the
Schedule above, we will mail notice of
cancellation to the person or organization shown
in such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for Cancellation in such
Schedule before the effective date of
cancellation.

B. If we do not renew this policy for any legally
permitted reason other than nonpayment of
premium, and a number of days is shown for
When We Do Not Renew (Nonrenewal) in the
Schedule above, we will mail notice of
nonrenewal to the person or organization shown
in such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for When We Do Not
Renew (Nonrenewal) in such Schedule before the
effective date of nonrenewal.

C. If we add a material limitation on the coverage
provided by this policy, and a number of days is
shown for Material Limitation Of Coverage in the
Schedule above, we will mail notice of such
limitation to the person or organization shown in
such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for Material Limitation Of
Coverage in such Schedule before the effective
date of such limitation.
30 30
30 AS REQUIRED BY WRITTEN CONTRACT
TAMPA FL 33634
810-5X558309-24-43-G 01-17-24
Endorsement EffectiveCountersigned byPolicy No.Premium $InsuredInsurance CompanyEndorsement No.

All other terms and conditions of this policy remain unchanged. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

TO DESIGNATED PERSONS OR ORGANIZATIONSNOTICE OF CANCELLATIONPOLICY NUMBER:ENDORSEMENT WC 99 06 R3 (00) -EMPLOYERS LIABILITY POLICYANDWORKERS COMPENSATION Notice Of Cancellation To Designated Persons Or Organizations Name and Address of Designated Persons or Organizations:Number of Days Notice The following is added to PART SIX – CONDITIONS :

SCHEDULE
If we cancel this policy for any reason other than non-payment of premium by you, we will provide notice of such cancellation to each person or organization designated in the Schedule below. We will mail or deliver such notice to each person or organization at its listed address at least the number of days shown for that person or organiza- tion before the cancellation is to take effect. You are responsible for providing us with the information necessary to accurately complete the Schedule below.If we cannot mail or deliver a notice of cancellation to a designated person or organization because the name or address of such designated person or organization provided to us is not accurate or complete, we have no responsibility to mail, deliver or otherwise notify such designated person or organization of the cancellation.

ONE TOWER SQUARE
UB-5X489557-25-43-GHARTFORD CT 06183001
CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF:1. YOU SEE TO IT THAT WE RECEIVE A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS ENDORSEMENT.ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US.

ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED IN A WRITTEN30 PageofDATE OF ISSUE:ST ASSIGN:© 2013 The Travelers Indemnity Company. All rights reserved.01-03-25 11

COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSURED - WRITTEN

CONTRACTS (ARCHITECTS, ENGINEERS AND

SURVEYORS)
This endorsement modifies insurance provided under th e following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

1. The following is added to SECTION II - WHO IS
AN INSURED:

Any person or organization that you agree in a
"written contrac t requiring insurance" to include as
an additiona I insured on this Co verage Part, but:
a. Only with respect to liability for "bodily injury",
"property damage" or "personal injury"; and
b. If, and only to the extent that, the injury or
damage is caused by acts or omissions of
you or your subcontractor in the performance
of "your work" to which the "written contract
requiring insurance" applies. The person or
organization does not qualify as an additional
insured with respect to the independe nt acts
or omissions of such person or organization .

The insurance prov ided to such additional insured
is limited as follows:
c. In the event that the Limits of Insurance of
this Coverage Part shown in the Declarations
exceed the limits of liability required by the
"written contract requiring insurance", the in­
surance provided to the additional insured
shall be Ii mited to the limits of liability required
by that "written contract requiring insurance".

This endorsement shall not increase the Ii mits
of insurance described in Section Ill - Limits
Of Insurance.
d. This insurance does not apply to the render­
ing of or failure to render any "professional
services" or construction management errors
or omissions.
e. This insurance does not apply to "bodily in­
jury" or "property damage" caused by "your
work" and included in the "products­
completed operations hazard" unless the
"written contract requiring insurance" specifi­
cally requires you to provide such coverage
for that additional insured, and then the insur­
ance provided to the additional insured ap-
plies only to such "bodily injury" or "property
damage" tha t occurs before the end of the pe­
riod of time for which the "written contract re­
quiring insurance" requires you to provide
such coverage or the end of the pol icy period,
whichever is earlier.

2. The following is added to Paragraph 4.a. of SEC­

TION IV - COMMERCIAL GENERAL LIABILITY
CONDITIONS:

The insurance provided to the additional insured
is excess over any valid and collectible "other in­
surance", whether primary, excess, contingent or
on any other basis, that is available to the addi­
tional insured for a loss we cover. However, if you
specifically agree in the "written contract requiring
insurance" that this insurance provided to the ad­
ditional insured under this Coverage Part must
apply on a primary basis or a primary and non­
contributory basis, this insurance is primary to
"other insurance" available to the additional in­
sured which covers that person or organization as
a named insured for such loss, and we will not
share with that "other insurance". But this insur­
ance provided to the additional insured still is ex­
cess over any valid and collectible "other insur­
ance", whether primary, excess, contingent or on
any other basis, that is available to the additional
insured when that person or organization is an
additiona I insured under any "other insurance".

3. The following is added to SECTION IV - COM­
MERCIAL GENERAL LIABILITY CONDITIONS:

Duties Of An Additional Insured
As a condition of coverage provided to the addi­
tional insured:
a. The additional insured must give us written
notice as soon as practicable of an "occur­
rence" or an offense which may result in a
claim. To the extent possible, such notice
should include:

CG D414 04 08 © 2008 The Travelers Companies, Inc. Page 1 of 2 Policy #630-5X487435

COMMERCIAL GENERAL LIABILITY
i. How, when and where the "occurrence"
or offense took place ;
ii. The names and addresses of any injured
persons and witnesses; and
iii. The nature and location of any injury or
damage arising out of the "occurrence" or
offense.
b. If a claim is made or "suit" is brought against
the additional insured, the additional insured
must:
i. Immediately record the specifics of the
claim or "suit" and the date received; and
ii. Notify us as soon as practicable.

The additional insured must see to it that we
receive written notice of the claim or "suit" as
soon as practicable.
c. The additional insured must im mediately send
us copies of all legal papers received in con­
nection with the claim or "suit", cooperate with
us in the investigation or settlement of the
claim or defense against the "suit", and oth­
erwise comply with all policy conditions.
d. The additional insured must tender the de­
fense and indemnity of any claim or "suit" to
any provider of other insurance which would
cover the additional insured for a loss we
cover. However, this condition does not affect
whether this insurance provided to the addi­
tional insured is primary to that other insur­
ance available to the additional insured which
covers that person or organization as a
named insured.

4. The following is added to the DEFINITIONS Sec­
tion:
"Written contract requiring insurance" means that
part of any written contract or agreement under
which you are required to include a person or or­
ganization as an additional insured on this Cover­
age Part, provided that the "bodily injury" and
"property damage" occurs and the "personal in­
jury" is caused by an offense committed:
a. After the signing and execution of the contract
or agreement by you;
b. While that part of the contract or agreement is
in effect; and
c. Before the end of the policy period.

Page 2 of 2 ends

Policy #630-5X487435
Policy # 630-5X487435
Policy # 630-5X487435
Policy # 630-5X487435
Policy # 630-5X487435
Policy # 630-5X487435
Policy # 630-5X487435

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