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COI - Irish Construction, A CA Corp. - Expires 2022-01-01CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/17/2020 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 older is an ADDITIONAL INSURED, the policy(ies) must have ADD TIONAL 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 Aon Risk Insurance Services West, Inc. Irvine CA Office 17875 von Karman Avenue, Suite 300 Irvine CA 92614 USA NAME: PHONE (949) 608-6300 (A/C. No. EA): E-MAIL ADDRESS: FAX No.): (949) 608-6459 INC. INSURER(S) AFFORDING COVERAGE NAIC # INSURED Irish construction, A CA Corp. 2641 River Avenue Rosemead CA 91770 USA INSURER A: Zurich American Ins Co 16535 INSURER 8: American Guarantee & Liability Ins Co 26247 INSURER C: INSURER D: INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER: 5700852 8453 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 INSR LAR TYPE OF INSURANCE AWOL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY Y GL0022994505 01/01/2021 01/01/2022 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X OCCUR DAMAGE IC5RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 --II POLICY I X I PRO- JJECT LOC PRODUCTS - COMP/OP AGG $4,000,000 OTHER: A AUTOMOBILE LIABILITY Y BAP 0229947-05 01/01/2021 01/01/2022 COMBINED SINGLE LIMIT (Ea accident) $2 , 000, 000 X ANY AUTO BODILY INJURY ( Per person) OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) A AUTOS ONLY HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) B X• UMBRELLALIAB X OCCUR AUC008405806 01/01/2021 01/01/2022 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE SIR applies per policy terns & conditions AGGREGATE $10,000,000 DED X RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ WCO22994605 01/01/2021 01/01/2022 X PER STATUTE OTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED/ N N N / A E.L. EACH ACCIDENT $1,000,000 (Mandatory In NH) If describe E.L. DISEASE -EA EMPLOYEE $1,000,000 yes under DESCRIPTION OF OPERATIONS below E,L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The city of Gilroy, its officers, officials, representatives, agents, employees, and volunteers are additional insured and waiver of subrogation applies in their favor. *GL (CG2012) & Auto endorsement and GL, Auto & WC waiver attached. CERTIFICATE HOLDER CANCELLATION City of Gilroy, its officers, officials representatives, agents, employees and volunteersM Attn: Risk Manager 7351 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (�/ t ?a atet�zn yy+//�_+� y+y ABC[' eJ Gla�erd ata ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD er Identifier : PGML T U, Certificate No 02 06 000078 000611 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on January 1, 2021 at 12:01 A.M. standard time, forms a part of (DATE) Policy No. Endorsement No. WCO22994605 of the Zurich American Ins Co (NAME OF INSURANCE COMPANY) issued to: Irish Construction; Irish Communication; Manhattan Capital & Irish Electric Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of I