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West Coast Code Consultants - Insurance Certificate (2019)
ACORl70 `�. CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDIYYYY) 4/24/2018 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). PRODUCER Dealey, Renton &Associates P. O. Box 12675 CONTACT NAME: Alison Olsen PHO NE FAX • 510 -465 -3090 A/c No): 510 - 452 -2193 E-MAIL lnsurance.Certificates@Dealeyrenton.com Oakland, CA 94604 -2675 INSURERS AFFORDING COVERAGE NAIC# License #0020739 INSURER A: Travelers Property Casualty Co of Ameri 25674 4/28/2019 INSURED WESTCOAST5 West Coast Code Consultants, Inc. 2400 Camino Ramon, Ste. 240 INSURER B: Travelers Indemnity Co. of Connecticut 25682 INSURER C: Continental Casualty Company 20443 INSURER D: San Ramon, CA 94583 925 - 275 -1700 INSURER E: INSURER F: PREMISES Ea occurrence COVERAGES CERTIFICATE NUMBER: 986398959 REVISION NUMRFR- 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDY IYYYY MM DDfYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 680007KB31631 4/28/2018 4/28/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10,000 Contractual Liab PERSONAL & ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 GEN'L POLICY IA jE FI LOC PRODUCTS - COMP /OP AGG $ 4,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y Y BA7K835875 4/28/2018 4/28/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LAB X OCCUR Y Y CUP7K838484 4/28/2018 4/28/2019 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 EXCESS LAB CLAIMS -MADE DED X I RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y UB007K838122 4/28/2018 4/28/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER /MEMB ER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liability MCH591900192 4/28/2018 4/28/2019 $1,000,000 $2,000,000 per Claim Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Umbrella Liability policy is follow -form to underlying General Liability /Auto Liability /Employers Liability. All Operations of the Named Insured. City of Gilroy, its officers, officials, employees and volunteers are named as Additional Insured as respects General and Auto Liability as required per written contract or agreement. ILK I Il I t MULL LANI.t LLA I tun 3U Uay Ivouce OT uancenauon City of Gilroy 7351 Rosanna 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 REPRESENTATIVE ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD