The URL can be used to link to this page

COI - Bureau Veritas North America, Inc. - Expires 2023-01-01Holder Identifier : 7777777707070700077761616045571110777706016215556307453126663406310072651577046330120762515112176100207572550623231553074373320764266740766115376176760207105132061263332076727242035772000777777707000707007 7777777707070700073525677115456000723514502473002007725004571377463071367333570360010742237770643241007033227352073111071222362521731100713233625207311107022326253073111077756163351765540777777707000707007Certificate No : 570090934114 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/29/2021 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). 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. PRODUCER Aon Risk Services Northeast, Inc. Aon Risk Services Northeast, Inc. NY NY Office One Liberty Plaza 165 Broadway, Suite 3201 PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 866-283-7122 INSURED 19682Hartford Fire Insurance Co.INSURER A: 27120Trumbull Insurance CompanyINSURER B: 35300Allianz Global Risks US Insurance Co.INSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.):800-363-0105 CONTACT NAME: Bureau Veritas North America, Inc. 180 Promenade Circle, Suite 150 Sacramento CA 95834 USA COVERAGES CERTIFICATE NUMBER:570090934114 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 POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X X GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 $1,000,000 $10,000 $2,000,000 $2,000,000 $2,000,000 C 01/01/2022 01/01/2023USL00159322 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $2,000,000A01/01/2022 01/01/2023 AOS 10 AB S41203A 01/01/2022 01/01/2023 HI COMBINED SINGLE LIMIT (Ea accident) 10 AB S41202 EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIAB RETENTION E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- PER STATUTEB01/01/2022 01/01/2023 See State Policy Addendum $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 10WNS41200 Each ClaimUSF0024802201/01/2022 01/01/2023 Claims Made $1,000,000Aggregate Archit&Eng ProfC SIR applies per policy terms & conditions $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contract for 18-RFP-CDD-406 for on-Call Plan Review services. 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. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of Gilroy, its officers, officials and employees 7351 Rosanna Street Gilroy CA 95020 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Workers Compensation/Employers Liability AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Northeast, Inc. 570000048582 570090934114 570090934114 Page _ of _ Bureau Veritas North America, Inc. 10WNS41200 01/01/22-01/01/23 Trumbull Insurance AR,DC,IN,LA,NE,RI,UT 10WNS41200 01/01/22-01/01/23 Twin City Fire Insurance Company FL,ND,OH,WA,WY 10WNS41200 01/01/22-01/01/23 Hartford Insurance Company of the Midwest AK,ID 10WNS41200 01/01/22-01/01/23 Hartford Casualty Insurance Company MO,WV 10WNS41200 01/01/22-01/01/23 Nutmeg Insurance Company CT,IL 10WNS41200 01/01/22-01/01/23 Hartford Fire Insurance Company NH,OR,PA 10WNS41200 01/01/22-01/01/23 Hartford Accident and Indemnity Company AL,GA,KY,MI,MT,NY,TN,VT 10WNS41200 01/01/22-01/01/23 Property & Casualty Ins Co of Hartford CA,CO,DE,ME, MN,MS,SC 10WNS41200 01/01/22-01/01/23 Hartford Insurance Company of Illinois TX 10WNS41200 01/01/22-01/01/23 Hartford Insurance Company of the Southeast KS,MD 10WNS41200 01/01/22-01/01/23 Hartford Underwriters Insurance Company AZ,HI,NC,NJ,SD,VA 10WNS41200 01/01/22-01/01/23 Sentinel Insurance Company, Limited IA,NM,NV,OK 10WBRS41201 01/01/22-01/01/23 Twin City Fire Insurance Company WI 10WBRS41201 01/01/22-01/01/23 Hartford Underwriters Insurance Company MA 10WBRS41201 01/01/22-01/01/23 Hartford Fire Insurance Company PR ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD