Advanced Data Processing - Insurance CertificateAC RL> CERTIFICATE OF LIABILITY INSURANCE
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THIS CERTIFICATE 13 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 be endorsed. N 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).
PRODUCER
Marsh USA Inc.
15M SaMms Corporate Pkwy, Suite 300
Swiss, FL 33323
M FI Lawdeidale.CertRequw*marsl.rwm F:212-948-0512
NUMNIK CT
PHONE rAx
o
A
INSURERS AFFORDING COVERAGE
NAIC Y
INSURER A, Cm*wbl Insurim Company
35289
10130GAWU- PROF -17 -18
INSURER
Advamc®d Data Procee ft Inc.
INSURER B: American Y Of Reading, Pa
20427
INSURER C : WA
WA
INSURER 0:
$ 15.000
6453 North Federal I tghway, Sulte 1000
Fat Lauderdale, FL 33308
PERSONAL & AOV INJURY
$ 11=1000
INSURER E
GENERAL AGGREGATE
INSURER F:
PRODUCTS - COMPIOPAGG
$ 2,000,090
COVERAGES CERTIFICATE NUMBER: ATL 403492821 -24 REVISION NUMBER-.34
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, TERRA 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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFE
ID
POLICY EXP
LIMITS
A
X
00MM6icIALaENERAL LIABILITY
CLAWAADE M OCCUR
6018=77
0613012017
0813012018
EACH OCCURRENCE
$ IMAM
PREMISES (Ea AMMMOM
$ 1,000000
MED EXP one
$ 15.000
PERSONAL & AOV INJURY
$ 11=1000
GERL AGGREGATE LIMIT APPLIES PER:
POLICY❑ �C LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOPAGG
$ 2,000,090
$
A
AuTomosas
LIABILITY
ANY AUTO
ALL SCHEDULED
O �ED
HIREDAUTOS AUTOS
6019302263
06130/2017
OVNIM8
CEOaMB1NED Sw LIMIT
3
X
BODILY MURY (Par parson)
3
BODLYNJURY (Par acelderq)
$
PE AGE
Me[ apoldynt)
$
a
UMSRMW ALUIB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LUUi1LlTY YIN
ANY P
OFFCERIMETORIPACLUDRIEXECUTIVE N
OFFlCERIMEMBEIt EXCLUDED?
(Mlendabary In NH)
yyeeaa, dsclbe under
OIf ESCRIFeSnm N OF OPERATIONS below
NIA
18302294 (AOS)
6018307180 CA
( )
0613412017
061AM17
18
0613012018
X PER
ELEi4CHACCIDENT
$ 1,000,000
EL DISEASE - EA EMPLOYEE
d 11000.000
EL DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTTON OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Addldwal Remarks Schedule, may be attachad If more apace Is required)
The City of Gilroy, its officers and employees are included as additional insured (except workers' o mpensation) where required by written contract.
The filly of Gilroy
Attn: Jenrfer Bade
Divislon Chief
Gilroy Fire Department
7070 Chesrult
Gilroy, CA 95020
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 REPI
of Marsh USA by—
Carmen Gordon A-04-4">
All rinhts raanrund
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
A� D® CERTIFICATE OF LIABILITY INSURANCE
oAa6/&T/2o016o '
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(les) must 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 endorseme s .
PRODUCER
Marsh USA Inc.
1560 lass Corporate Pkwy, Suite 300
Sundae, FC 33323
NC0kMTeCT
PHONE FAX
Ale No ,
JAAIL
Attn: FtL-alideidale .CenRequest @marsh.com F:212- 948-0512
6018302277
061302016
06!302017
INSURER(S) AFFORDING COVERAGE
HAILS
INSURER A: Continental Insurance Company
35289
101309 -GAWU -PROF -16-17
INSURpmned'u Corporation/
Advanced Data Processing, Inc.
INSURER 8: American Casualty Company Of Reading, Pa
20427
INSURER C : N/A
N/A
INSURER 0:
$ 1,000,000
6451 North Federal Highway, Suite 1000
Fat Lauderdale, FL 33308
GENERAL AGGREGATE
It 2.000.000
- -
INSURER E:
' INSURER F
A
AUTOMOBILE
COVERAGES - _ CERTIFICATE NUMBER: ATL- 003492621 -19 REVISION NUMBER:26
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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
A
POLICY NUMBER
POL CY EFF
POLICY ev
- LIMITS
A
X.
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE M OCCUR
6018302277
061302016
06!302017
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES I. owunmnobl
S 1,060,000
MED EXP (Any are person)
S 15,000
PERSONAL B ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY D �7 M LOC
OTHER
GENERAL AGGREGATE
It 2.000.000
PRODUCTS - COMP /OP AGG
$ 2,000,000
$
A
AUTOMOBILE
LIABILITY
WANY AUTO
ALL OWNED F7 SCHEDULED
UTOS
HIREDSAUTOa NON -O
NED
6018302263
061302016
0673012017
COMBINED IN UNIT
Ea ecc den
It 1,000,000
BODILY INIURY(Per person)
$
I
BODILY INIURY(Peracmdent)
$
PROPERTYDAMAGE E
UMBRELLA LIMB
EXCESS LIAR
OCCUR
CWMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
OED
RETENTION
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS• LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Yin
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
H s, describe undw
DESCRIPTION OF OPERATIONS below
NIA
6018302294'(AOS)
6018302280
6016302280 (CA)
06130/206
O6I30/2016
0620017
061302017
X STATUTE
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYE
$ 1,000,000
E,L. DISEASE - POLICY OMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, AddlNonal Ramerka Schedule, may ba tl had N man specie Is requlndt
The City of Gilroy, Its olficars and employees are Included as additional Insured (except workers' compensation) where required by written contract
City of Gilroy
Attn: Mary G Verma
Division Chief
Gilroy Fire Department
7070 Chestnut
Gilroy, CA 95020
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
of Mash USA Inc.
Carmen Gordon •Gmq.. a7
1968-2014 ACORD CORPORATION- All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD