Recology South Valley - Insurance Certificate (2019)AC 0 CERTIFICATE DATE (MM/DDIYYYY)
OF LIABILITY INSURANCE I 9/28/2018
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 Beecher Carlson Insurance Services CONTACT
NAME: Beecher Carlson Insurance Services
21650 Oxnard Street, Suite 1600 P,vHONE . Extl: 818-598-4200 � a , Na): 770-870-3043
Woodland Hills, CA 91367 I E-MAIL
ADDRESS:
INSURERS) AFFORDING COVERAGE NAIC #
www.beechercarlson.com
INSURED
Recology South Valley
1351 Pacheco Pass Highway
Gilroy CA 95020
INSURERA: ACE American Insurance Company 22667
INSURER B : Ironshore Europe DAC N/A
INSURER C : XL Specialty Insurance Company 37885
INSURER D :
I INSURER E :
I INSURER F :
COVERAGES CERTIFICATE NUMBER: 44621716 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.
INTR NSD /Y
I TYPE OF INSURANCE �ISWVD UBR POLICY EFF POLICY EXW
POLICY NUMBER (MM/DDYYY) (MM/DDIYYYY) LIMITS
A `/ COMMERCIAL GENERAL LIABILITY ✓ XSL G27629362 10/1/2018 10/1/2019 EACH OCCURRENCE $1 500 000
CLAIMS -MADE ❑✓ OCCUR
✓ SIR: $500,000
GEN'L AGGREGATE LIMIT APPLIES PER:
JO-
✓ O- POLICY PRO- ❑ LOC
OTHER:
A AUTOMOBILE LIABILITY
XSA H08868700 10/1/2018 10/1/2019
✓ ANY AUTO
OWNED SCHEDULED
_ AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
✓ SIR: $500K
B UMBRELLA LIAB I ,/ I OCCUR
PN1800870 10/1/2018 10/1/2019
EXCESS LIAB II�II CLAIMS -MADE
DED I I RETENTION $
C WORKERS COMPENSATION
RWE5000442-04 10/1/2018 10/1/2019
AND EMPLOYERS' LIABILITY YIN
(includes WA Stop Gap)
ANYPROPRI ETOR/PARTNER/EXECUTIVE
OFFICERIMEMBEREXCLUDED? N / A
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
SIR: $1,000,000
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$1,500,000
MED EXP (Any one person)
I $
PERSONAL & ADV INJURY
I $1,500,000
GENERAL AGGREGATE
I $2,000,000
PRODUCTS - COMP/OP AGG
I $ 2,000,000
$
COMBINED SINGLE LIMIT
(Ea accident)
$1,500,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident) I $
PROPERTY DAMAGE
(Per accident)
I $
Auto Physical Damaqe
I $ Self Insured
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
I$
✓ PER I OTH-
STATUTE ER
E.L. EACH ACCIDENT I $ 2,000,000
E.L. DISEASE - EA EMPLOYEEI $ 2.000.000
E.L. DISEASE - POLICY LIMIT I $ 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
If additional insured (ADDL INSR) and/or subrogation waived (SUBR WVD) boxes are checked, applicable blanket policy endorsements apply in favor of the
DESIGNATED ENTITY where required by written contract, but only as respects liability arising out of work performed by or on behalf of the insured.
DESIGNATED ENTITY: Certificate Holder
CERTIFICATE HOLDER
CANCELLATION
City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
(Insurer Foodmaker, Inc.) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
R ACCORDANCE WITH THE POLICY PROVISIONS.
A
TTN: Phil Valenzulea - Risk Manager
7351 Rosanna Street
Gilroy CA 95020 AUTHORIZED REPRESENTATIVE
I (WDHLS) Pam Brooskin
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
44621716 1 18-19 Liability I (WDHLS) Robert Schwartz 19/28/2018 5:35:44 PM (PDT) I Page 1 of 1