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Hexagon Transportation - Insurance Certificate (2020)AC R ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �...•-� I 2/25/2019 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 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 Samantha Dutra RC Fischer Co I PHONE FAX 1301 Ygnacio Valley Rd #100 (A/C. No. Ext1: 925-627-5467 I (A/C. No): 925-932-0962 Walnut Creek CA 94596 ADDRESS: sdutra@rcfischer.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity of CT 25682 INSURED HEXAG-1 INSURER B :Technology Insurance Company Hexagon Transportation Consultants, Inc. 4 North Second St., #400 INSURER C : Argonaut Insurance Company San Jose CA 95113 INSURER D : Travelers Indemnity Co. INSURER E : Travelers Prop Cas Co of Amer 25674 INSURER F : COVERAGES CERTIFICATE NUMBER: 1729764304 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, INSR TYPE OF INSURANCE ADDL SUBR LTR IN$D WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y 68071-1532991 3/1/2019 3/1/2020 EACH OCCURRENCE $ 2,000,000 X DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 � POLICY JECOT- LOC PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: $ D AUTOMOBILE LIABILITY BA911798647 3/1/2019 3/1/2020 COMBINED SINGLE LIMIT (Ea accident) $ 1.000.000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X X NON -OWNED ROPERTY DAMAGE $ HIRED AUTOS AUTOSS (Perr accident) E UMBRELLA LIAB X OCCUR CUP5819P929 3/1/2019 3/1/2020 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $ I X I DED RETENTION $ 0 $ B WORKERS COMPENSATION TWC3777245 3/1/2019 3/1/2020 X IPER STATUTE I OERH AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? FY] N / A E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability 121AE000328800 3/1/2019 3/1/2020 Each Claim $2,000,000 Claims -Made Form Aggregate $2,000,000 Deductible $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: Santa Teresa Blvd. Townhouse Project City of Gilroy, its officers, officials and employees are named as an additional insured. 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, officials and employees 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD