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HomeMy WebLinkAboutInsurance Certificates 2026/27 PGA West (Residence Club Master Ass)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 4/17/2026 (775) 829-2345 (775) 827-7090 18058 The Residence Club at PGA West Master Association 54-500 West Residence Club Dr La Quinta, CA 92253 A 1,000,000 X PHPK2681883-010 4/28/2026 4/28/2027 100,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000A PHPK2681883-010 4/28/2026 4/28/2027 5,000,000A X PHUB909883-014 4/28/2026 4/28/2027 5,000,000 10,000 Additional Insured status applies if required by written contract or written agreement per General Liability (PI-CO-6 11/06). Umbrella follows form. 30 Day Notice of Cancellation 10 Day notice for non-payment of premium issued to the first named insured only. Additional Insured: City of La Quinta, its officers, and employees as additional insured on the policy with respect to liabilities arising out of the Landowne's maintenance, operations, and inspection obligations under the City's Ordinance and the approved plans. City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 RESICLU-01 SM0TASKFORCE AssuredPartners of NV, LLC 5340 Kietzke Lane Ste 201 Reno, NV 89511 Philadelphia Indemnity Ins Co X X X X X X X PI-CO-6 (11/06) Page 1 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY DELUXE ENDORSEMENT: CONDOMINIUM ASSOCIATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed that the following extensions only apply in the event that no other specific coverage for the indicated loss exposure are provided under this policy. If such specific coverage applies, the terms, conditions and limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted on this endorsement. The following is a summary of the Limits of Insurance and additional coverage provided by this endorsement. For complete details on specific coverages, consult the policy contract wording. Coverage Applicable Limit of Insurance Page # Damage To Premises Rented To You, All Covered Causes of Loss $1,000,000 2 Expected or Intended Injury-Property Damage included 2 Non-Owned Watercraft Less than 58 feet 2 Supplementary Payments – Bail Bonds $2,500 2 Supplementary Payment – Loss of Earnings $500 per day 2 Employee Indemnification Defense Coverage for Employee $10,000 3 Additional Insured – Committee, Organization and Subsidiary Included 3 Additional Insured – Managers or Lessors of Premises Included 3 Additional Insured – Condominium Unit Owners Included 3 Additional Insured – Lessor of Leased Equipment-Automatic Status when Required in Lease Agreement with You Included 3 Additional Insured – Use of Watercraft Included 4 Duties in the Event of Occurrence, Claim or Suit Included 4 Unintentional Failure to Disclose Hazards Included 4 Liberalization Included 4 Bodily Injury – includes Mental Anguish Included 4 Personal and Advertising Injury – includes Abuse of Process, Discrimination Included 4 PI-CO-6 (11/06) Page 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission. A. Damage To Premises Rented To You If damage by fire to premises rented to you is not otherwise excluded from this Coverage Part, the word “fire” is changed to all Covered Causes of Loss where it appears in: 1. The last paragraph of SECTION I – COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY after the Exclusions; 2. Paragraph 6 of SECTION III - LIMITS OF INSURANCE; 3. Paragraph b.(1)(b) of 4. Other Insurance in SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS; and 4. Paragraph 9.a. “Insured contract” in SECTION V - DEFINITIONS. The Damage To Premises Rented To You Limit section of the Declarations is amended to the greater of: a. $1,000,000; or b. The amount shown in the Declarations as the Damage to Premises Rented to You Limit. This is the most we will pay for all damage proximately caused by the same event, whether such damage results from a Covered Cause of Loss or any combination thereof. B. Extended Property Damage SECTION I – COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions a. is deleted and replaced by the following: a. Expected or Intended Injury “Bodily injury” or “property damage” expected or intended from the standpoint of the insured. This exclusion does not apply to “bodily injury” or “property damage” resulting from the use of reasonable force to protect persons or property. C. Non-Owned Watercraft SECTION I – COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions paragraph g. (2) is amended to read as follows: (2) A watercraft you do not own that is: (a) Less than 58 feet long; and (b) Not being used to carry persons or property for a charge; This provision applies to any person, who with your consent, either uses or is responsible for the use of a watercraft. This insurance is excess over any other valid and collectible insurance available to the insured whether primary, excess or contingent. D. Supplementary Payments – Coverages A and B In the SUPPLEMENTARY PAYMENTS - COVERAGE A AND B provision: 1. The limit for the cost of bail bonds is changed from $250 to $2,500; and 2. The limit for loss of earnings is changed from $250 a day to $500 a day. PI-CO-6 (11/06) Page 3 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission. E. Employee Indemnification Defense Coverage Under SUPPLEMENTARY PAYMENTS - COVERAGES A AND B the following is added: 3. We will pay, on your behalf, defense costs incurred by an “employee” in a criminal proceeding. The most we will pay for any “employee” who is alleged to be directly involved in a criminal proceeding is $10,000 regardless of the numbers of employees, claims or “suits” brought or persons or organizations making claims or bringing “suits”. F. SECTION II - WHO IS AN INSURED is amended as follows: 1. If coverage for newly acquired or formed organizations is not otherwise excluded from this Coverage Part, paragraph 3.a is changed to read: a. Coverage under this provision is afforded until the end of the policy period. 2. 2. c and d are deleted in their entirety and replaced with the following: c. Any person or organization having proper temporary custody of your property if you cease to exist as a legal entity, but only: 1. With respect to liability arising out of the maintenance or use of that property; and 2. Until your legal representative has been appointed. d. Your legal representative, if you cease to exist as a legal entity, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. 3. Each of the following is also an insured: a. Committee, Organization and Subsidiary - Any committee, organization and subsidiary thereof which you control and actively manage on the effective date of this Coverage Part. However, coverage does not apply to any committee, organization and subsidiary not named in the Declarations as a Named Insured, if they are also insured under another policy, but for its termination or the exhaustion of its limits of insurance. b. Managers or Lessors of Premises - Any person or organization with respect to their liability arising out of the ownership, maintenance or use of that part of the premises leased to you subject to the following additional exclusions: This insurance does not apply to: 1) Any “occurrence” which takes place after you cease to be a tenant in that premises. 2) Structural alterations, new construction or demolition operations performed by or on behalf of that person or organization. c. Condominium Unit Owners – each individual unit owner of the insured condominium, but only with respect to liability arising out of the ownership, maintenance or repair of that portion of the premises which is not reserved for that unit owner’s exclusive use or occupancy. d. Lessor of Leased Equipment – Automatic Status When Required in Lease Agreement With You – any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization is to be added as an additional insured on your policy. Such person or organization is an insured only with respect to liability for “bodily injury”, “property damage” or “personal and advertising injury” caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. PI-CO-6 (11/06) Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission. A person’s or organization’s status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any “occurrence” which takes place after the equipment lease expires. e. Use of Watercraft – any person, who with your consent, either uses or is responsible for the use of a watercraft that you do not own that is less than 58 feet long and is not being used to carry persons or property for a charge. G. Duties in the Event of Occurrence, Claim or Suit 1. The requirement in condition 2.a. of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS that you must see to it that we are notified as soon as practicable of an “occurrence” or an offense, applies only when the “occurrence” or offense is known to: a. You, if you are an individual; b. A partner, if you are a partnership; or c. An executive officer, director, or insurance manager, if you are a corporation. 2. The requirement in condition 2.b. that you must see to it that we receive notice of a claim or “suit” as soon as practicable will not be considered breached unless the breach occurs after such claim or “suit” is known to: a. You, if you are an individual; b. A partner, if you are a partnership; or c. An executive officer, director, or insurance manager, if you are a corporation. H. Unintentional Failure To Disclose Hazards It is agreed that, based on our reliance on your representations as to existing hazards, if you should unintentionally fail to disclose all such hazards prior to the beginning of the policy period of this Coverage Part, we shall not deny coverage under this Coverage Part because of such failure. I. Liberalization If we revise this endorsement to provide more coverage without additional premium charge, we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state. J. Bodily Injury - Mental Anguish The definition of “Bodily injury” is changed to read: 3. “Bodily injury”: a. Means bodily injury, sickness or disease sustained by a person, and includes mental anguish resulting from any of these; and b. Except for mental anguish, includes death resulting from the foregoing (item a. above) at any time. K. Personal and Advertising Injury – Abuse of Process, Discrimination If COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY COVERAGE is not otherwise excluded from this Coverage Part, the definition of “Personal and Advertising Injury” is amended as follows: 1. Item 14 b. is revised to read: a. Malicious prosecution or abuse of process: PI-CO-6 (11/06) Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 2. Adding the following: a. “Personal and advertising injury” also means discrimination based on race, color, religion, sex, age or national origin, except when: 1. Done intentionally by or at the direction of, or with the knowledge or consent of: a. Any insured; or b. Any executive officer, director, stockholder, partner or member of the insured; or 2. Directly or indirectly related to the employment, former or prospective employment, termination of employment, or application for employment of any person or persons by an insured; or 3. Directly or indirectly related to the sale, rental, lease or sublease or prospective sales, rental, lease or sub-lease of any room, dwelling or premises by or at the direction of any insured; or 4. Insurance for such discrimination is prohibited by or held in violation of law, public policy, legislation, court decision or administrative ruling. The above does not apply to fines or penalties imposed because of discrimination.