The URL can be used to link to this page

Bureau Veritas - Insurance Certificate (2020)I DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/21/2018 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 CONTACT NAME: Aon Risk Services Northeast, Inc. Aon Risk Services Northeast, Inc. (/uC.NNo. EXt): 866-283-7122 (A/C.No.): 800-363-0105 NY NY Office E-MAIL One Liberty Plaza ADDRESS: 165 Broadway, suiteUSA 3201 New York NY 1000006 UINSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Hartford Fire Insurance Co. 19682 Bureau Veritas North America, Inc. INSURER B: Twin City Fire Insurance Company 29459 180 Promenade Circle, Suite 150 Sacramento CA 95834 USA INSURERC: Hartford Ins Co of the Midwest 37478 Sac INSURER D: Hartford Accident & Indemnity Company 22357 INSURER E: sentinel Insurance Company, Ltd 11000 INSURERF: Hartford Underwriters Insurance Company 30104 COVERAGES CERTIFICATE NUMBER: 570074336777 REVISION NUMBER: 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. Limits shown are as requested INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER ((MM/DD/YMkj JJMM/DD/YYYY1 LIMITS K X COMMERCIAL GENERAL LIABILITY USLOO159319 91/01/2019 O110112020 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS -MADE X❑ OCCUR PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X PRO X LOG �JECT (PRODUCTS - COMP/OPAGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY A X ANYAUTO OWNED SCHEDULED _ AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED — ONLY AUTOS ONLY UMBRELLA LIAB OCCUR H EXCESS LIAB CLAIMS -MADE DEDI (RETENTION I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR / PARTNER / EXECUTIVE C OFFICERIMEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below K Archit&Eng Prof 10 AB S41202 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT $2,000,000 ADS I (Ea accident) 10 AB s41203 01/01/2019 01/01/2020I BODILY INJURY ( Per person) HI I BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE IOWNS41200 01/01/2014 0110112020I X (STATUTE I IEOADS R lOwN541200 1OWH 01/01/2019 01/01/202n E.L. EACH ACCIDENT $1,000,000 AK ID NY E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 —_ USF00248019 01/01/2019 01/01/2020 Each Claim $1,000,000 SIR applies per policy terns & condi-ions Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) NP— RE: Contract for 18-RFP-CDD-406 for on -Call Plan Review services. :ij City of Gilroy, its officers, officials and employees are included as Additional insured in accordance with the policy -% provisions of the Business Auto Coverage & General Liability Coverage policy. i 7 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Gilroy, its officers, AUTHORIZED REPRESENTATIVE officials and employees 7351 Rosanna Street �- /� RocaGilroy CA 95020 USA n/% i%1DfC �U�taeD ,(%� �in� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000048582 LOC #: ACORD® `.-- ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Bureau Veritas North America, Inc. POLICY NUMBER see Certificate Number: 570074336777 CARRIER NAIC CODE See certificate Number: 570074336777 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # (INSURER IS :Property & Casualty Ins Co of Hartford 34690 (INSURER H :Hartford Casualty Insurance Cc 29424 (INSURER I :Trumbull Insurance Company 27120 (INSURER 3 :Nutmeg Insurance Co 39608 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. ADDL SUBR POLICY POLICY INSR LTR TYPE OF INSURANCE I DATE POLICY NUMBER EF DATE E EXPIRATION LIMITS (MM/DD/YYYY) (MM/DD/YYYY) I WORKERS COMPENSATION D N/A 10WNs41200 01/01/2019 01/01/2020 AL GA KY NE TN VT F N/A 10WNs41200 01/01/2019 01/01/2020 AZ HI MA MO NJ NC SD VA G N/A 1OWNS41200 01/01/2019 01/01/2020 CA CO DE LA ME MN MS SC N/A 10WNs41200 01/01/2019 01/01/2020 CT A N/A 10WNs41200 01/01/2019 01/01/2020 FL MD NH ND OH OR PA PR I E N/A 10WNs41200 01/01/2019 01/01/2020 IA NV OK H N/A 10WNs41200 01/01/2019 01/01/2020 IL TX B N/A 10WBRs41201 01/01/2019 01/01/2020 WI ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000048582 LOC #: A� �® ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Bureau Veritas North America, Inc. POLICY NUMBER See Certificate Number: 570074336777 CARRIER NAIC CODE See Certificate Number: 570074336777 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # (INSURER K :Allianz Global Risks us Insurance Co. 35300 INSURER INSURER INSURER IADDITIONAL POLICIES INSR LTR TYPE OF INSURANCE Page _ of _ If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY ADDLSUBR INSD WVD POLICYNUMBER EFFECTIVE EXPIRATION LIMITS NSD VD DATE DATE (MMIDDIVYYY) (MM/DD/YVYY) ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD