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Terminix - Insurance Certificate (2020)A CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/11/05/2019 Y) D19 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 central, Inc. PHONE (866) 283-7122 FAX 800-363-0105 Chicago IL Office I (A/C. No. Ext): I (A/C. No.): 200 East Randolph I E-MAIL Chicago IL 60601 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Zurich American Ins Co 16535 The TerminiX International Company INSURERB: American Zurich Ins Co 40142 Limited Partnership 150 Peabody Place INSURER C: Memphis TN 38103-3720 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570079144542 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 INSH AUUL SUHK POLICY thl- POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (POLICY )MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY GL02938b5blO Ul/Ul/LU1'J 61/01/2020EACH OCCURRENCE $3,000,000 DAMAGE TO RENTED CLAIMS -MADE X❑OCCUR PREMISES (Ea occurrence) $3,000,000 X Pesticide or Herbicide Applicator Cov MED EXP (Any one person) $10 , 000 X Contractual Liability GEN'LAGGREGATE LIMITAPPLIES PER: POLICY ❑ PRO ❑ LOC JECT OTHER: AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED _ AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY UMBRELLA LIAB HOCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION WORKS S dOMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N N I A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below PERSONAL B ADV INJURY $3,000,000 V GENERAL AGGREGATE $5,000,000 V PRODUCTS - COMP/OPAGG Included C, r BAP 2938657 10 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT AOS (Ea accident) $5 , 000, 000 BODILY INJURY ( Per person) O Z BODILY INJURY (Per accident) y PROPERTY DAMAGE N (Per accident) t. d7 EACH OCCURRENCE 0 AGGREGATE WC293865410 01/01/2019 01/01/2020 X (STATUTE I IOR wc2H WC293865510 01/01/2019 01/01/202D E.L. EACH ACCIDENT $1,000,000 WI & MA I E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) �. RE: TerminiX International Company, LP - Branch No. 2174. Service Location: 195 5th Street, Gilroy, CA 95020. City of Gilroy, its officers, officials and employees are included as Additional Insured under the General Liability policy ( per attached) and Automobile Liability policy if required by written contract, waiver of Subrogation applies to the General Liability, Automobile Liability and workers' Compensation policies if required by written contract with city of Gilroy. 1 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 AUTHORIZED REPRESENTATIVE Attn: Sheila Castillo -Walter Dunckel 7351 Rosanna Street Gilroy CA 95020 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD THE TERMINIX INTERNATIONAL COMPANY LP EFFECTIVE: 01/01/2019-01/01/2020 POLICYNUMBER GLO 2938656-10 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations WHERE REQUIRED BY WRITTEN CONTRACT ALL Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 THE TERMINIX INTERNATIONAL COMPANY LP EFFECTIVE: 01/01/2019-01/01/2020 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG20100413 THE TERMINIX INTERNATIONAL COMPANY LP -EFFECTIVE: 01/01/2019-01/01/2020 POLICY NUMBER GLO 2938656-10 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Ut Additional insured Yerson(s) I Or Organizatlon(s) Location And Description Of Completed Operations WHERE REQUIRED BY WRITTEN ALL CONTRACT Information reauired to comnlete this Schedule. if not shown above. will be shown in the Declarations. A. Section II -. Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by 'Your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. R With respect to the insurance afforded to these additional insureds, the following is added to Section III -.Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 O Insurance Services Office, Inc., 2012 Page 1 of 1