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COI - Dewberry Engineers Inc. - Expires 2023-07-01
AcoRD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/05/2022 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, If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confer rights to the certificate holder in lieu PRODUCER MARSH USA, INC. 1050 CONNECTICUT AVENUE, SUITE 700 WASHINGTON, DC 20036-5386 CN102736896-7/1-1.1 CA-22-23 INSURED DEWBERRY ENGINEERS INC. DBA DEWBERRY I DRAKE HAGLAN 11060 WHITE ROCK ROAD, SUITE 200 RANCHO CORDOVA, CA 95670 the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. of the policy, certain policies may require an endorsement. A statement on of such endorsement(s). CONTACT Justin Mineo NAME: (A/C. No. Exn: ONE (804) 344-8614 I INC. No): E-MAIL ADDRESS: justin.mineo@marsh.com INSURER(S)AFFORDING COVERAGE INSURER A : Travelers Property Casualty Co. Of America INSURER B : N/A INSURER C : Travelers Indemnity Company INSURER D : Beazley Insurance Company, Inc. INSURER E : INSURER F : NAIC # 25674 N/A 25658 37540 COVERAGES CERTIFICATE NUMBER: CLE-006483937-10 REVISION NUMBER: 0 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 LTR TYPE OF INSURANCE A X COMMERCIAL GENERAL LIABILITY C A EXCESS LIAB DED I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below D PROFESSIONAL LIABILITY CLAIMS -MADE X OCCUR X CONTRACTUAL INS.COV. (INSURED CONTRACTS) GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PE O LOC OTHER: AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY X UMBRELLA LIAB X OCCUR CLAIMS -MADE Y/N N ADDL SUBR INK!, VAT) POLICY NUMBER P-630-7792B312-COF-22 N/A POLICY EFF POLICY EXP IMM/DD/YYYY) )MM/DD/YYYY) 07/01/2022 07/01/2023 810-1N788974-22-43-G 07/01/2022 07/01/2023 CUP-4J583077-22-43 UB-6P972264-22-43-G V11B5E221301 RETRO. DATE: FULL PRIOR ACTS 07/01/2022 07/01/2023 07/01/2022 07/01/2023 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) I $ IPROPERTY DAMAGE I $ (Per accident) COMP / COLL DED: EACH OCCURRENCE AGGREGATE x I STATUTE I I EERH E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 07/01/2022 07/01/2023 PER CLAIM/AGGREGATE SIR $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Lions Creek Trails Project Construction Services - Lions Creek Trails Project Construction Services: Kern to Wren; Wren to Farrell, Gilroy, CA City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers are included as additional insured where required by written contract with respect to general liability. CERTIFICATE HOLDER City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 U JUL 1 1 2021 GILROY CITY CLERK'S OFFICE CANCELLATION 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 2,000,000 1,000 5,000,000 5,000,000 1,000,000 1,000,000 1,000,000 5,000,000 1,000,000 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 ACORD 25 (2016/03) �celi ?2..�rg `7otc. © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0004803 SP 0251-001-P04805-I City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 0251-01-00-0004803-0001-0010217