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COI - Wiring Connection, Inc. / Cardenas Electric - Expires 2022-06-01>® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 06/02/2021 ~ 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 Judith Villalobos NAME: Brown & Brown Insurance Services of CA, Inc. r.,t;g_NJ:o. Ext\: (714)221-1800 I FAX (A/C,Nol: (714)221-4196 2401 E. Katella Ave. ~oMlJ~ss: jvillalobos@bbsocal.com Suite 550 INSURER{S) AFFORDING COVERAGE NAIC# Anaheim CA 92806 INSURERA: Middlesex Insurance Company 23434 INSURED INSURER B: Great American Insurance Company 16691 Wiring Connection Inc./ Cardenas Electric INSURER c: Sentry Insurance a Mutual Company 24988 1718 W. 139th Street INSURERD: INSURERE: Gardena CA 90249 INSURERF: COVERAGES CERTIFICATE NUMBER: 21/22 GL, Auto, XS 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 c~~gg~ ,~gl-rig~ LIMITS LTR INSD WVD POLICY NUMBER X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -D CLAIMS-MADE [81 OCCUR DAMAGE TO RENTED -PREMISES (Ea occurrence\ $ 500,000 MED EXP (Any one person) $ 15,000 -A A0125978003 06/01/2021 06/01/2022 PERSONAL &ADV INJURY $ 1,000,000 -GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 ~ POLICY □ ~r8-r □ LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOiviOBiLE UABiUTi GOMB!NED S!NGLE LIMIT $ 1,000,000 (Ea accident) ,--X ANY AUTO BODILY INJURY (Per person) $ -OWNED -SCHEDULED 06/01/2022 A A0125978001 06/01/2021 BODILY INJURY (Per accident) $ -AUTOS ONLY AUTOS X ~ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ ~ UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE TUU341547101 06/01/2021 06/01/2022 AGGREGATE $ 5,000,000 OED I XI RETENTION$ 10•000 $ WORKERS COMPENSATION XI ~ffruTE I I OTH-AND EMPLOYERS' LIABILITY ER Y/N $ 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE □ N/A A0125978005 01/25/2021 01/25/2022 E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? $ 1,000,000 (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE lf yes, describe under $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES {ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its Officers, Officials, Representativess, Agents, Employees, and Volunteers are included as an Additional Insured, as respects to General Liability, regarding operations of the Named Insured, as required by written contract, per policy form CG2012. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 ~~ I © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD