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COI - Alpha Technologies Services, Inc. - Expires 2023-06-10>® CERTIFICATE OF LIABILITY INSURANCE I DATE {MM/DDNYYY) 06/08/2022 ~ 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 Marsh USA Inc. NAME: PHONE I FAX 1717 Arch Street IA/C No Ext\: IA/C Nol: Philadelphia, PA 19103-2797 E-MAIL ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC# CN102741033-GAWU-22-23 INSURER A: Travelers Property Casualty Company of America 25674 INSURED INSURER B : ACE Property & Casualty Insurance Company 20699 Alpha Technologies Services, Inc. 3767 Alpha Way INSURER c : The Travelers lndemnitv Comoanv 25658 Bellingham, WA 98226 INSURERD: INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-006810981-05 REVISION NUMBER: 2 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE , .. ,~~ , ... ,~ POLICY NUMBER IMM/DDNYYYl CMM/DDNYYYl A X COMMERCIAL GENERAL LIABILITY TC2JGLSA2J70635122 06/10/2022 06/10/2023 EACH OCCURRENCE $ 2,000,000 ~ □ CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED PREMISES CEa occurrencel $ 1,000,000 ..__ X Contractual Liability MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 ..__ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 Pl □ PRO-DLoc PRODUCTS -COMP/OP AGG $ 4,000,000 POLICY JECT OTHER: $ A AUTOMOBILE LIABILITY TC2JCAP2J70634ATIL22 06/10/2022 06/10/2023 COMBINED SINGLE LIMIT $ 3,000,000 ..__ I Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ~ -OWNED SCHEDULED BODILY INJURY (Per accident) $ ~ AUTOS ONLY .___ AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY I Per acciden!l $ B X UMBRELLA LIAB M OCCUR XEUG72582652001 06/10/2022 06/10/2023 EACH OCCURRENCE $ 5,000,000 .___ EXCESSLIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION $ $ C WORKERS COMPENSATION UB9R7251862251 K (AOS) UO/ 0 V/ <.V<.L 06/10/2023 X I ~f~TUTE I I OTH- AND EMPLOYERS' LIABILITY ER A YIN UB1 S82118A2251 R (AZ, MA, WI) 06/10/2022 06/10/2023 ANYPROPRIETOR/PARTNER/EXECUTIVE ~ E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.l. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES {ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers,officials and employees are included as additional insureds under the General Liability, Automobile Liability and Umbrella Liability Policies, ATIMA, as respects for work, supply and/or services being provided or performed by or on behalf of the Named Insured as per written contract, purchase order or agreement and subject to the terms and conditions of the policies. Professional Liability Beazley Insurance Company, NAIC 37540 Policy# C2753B210301 Term: 8/29/21 -7/30/22 CERTIFICATE HOLDER CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 Rosanna Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Gilroy, CA 95020 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ~USA?ne, © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102741033 ----------'---------------LO C #: Philadelphia -~® ACORD .. ~· AGENCY Marsh USA Inc. POLICY NUMBER CARRIER ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE NAMED INSURED Alpha Technologies Services, Inc. 3767 Alpha Way Bellingham, WA 98226 I NAICCODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CONTINUED FROM DESCRIPTION SECTION: Limit: $2,000,000 SIR $100,000 Page 2 of 2 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights 1 Ii The ACORD name and logo are registered marks of ACORD 0204-01-00-0004991-0002-0010293