COI - WACHTER, INC. - Expires 2023-08-01DATE (MM/DD/YYYY)
07/22/2022
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).
CONTACT
NAME:
PHONE FAX
(A/C. No. Exti' (A/C. No):
E-MAIL
ADDRESS:
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111150
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INSURER(S) AFFORDING COVERAGE
INSURER A: Arch Insurance Company
INSURER B: Employers Insurance Company of Wausau
INSURER C :
INSURER D :
INSURER E :
INSURER F :
Ae6R b® CERTIFICATE OF LIABILITY INSURANCE 8/1/2023
PRODUCER Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
kctsu@lockton.com
INSURED WACHTER, INC.
6969 16001 WEST 99TH STREET
LENEXA KS 66219
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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.
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$ 300,000
$ 10,000
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$ 4,000,000
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CO
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$ 2,000,000
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DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE
CERTIFICATE HOLDER.
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)
PROPERTY DAMAGE
(Per accident)
Comp/Coll Deds
EACH OCCURRENCE
AGGREGATE
X STATUTE I OER
IE.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
POLICY EXP
(MMIDD/YYYY)
(U)
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N
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N
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0
08/01/2023
08/01/2023
POLICY EFF
(MM/DD/YYYY)
0
N
0
O
0
N
0
O
08/01/202
08/01/202
08/01/202
POLICY NUMBER
41PKG8985100
41PKG8985100
41UFP8985100
41 WCI8985100
EXCL. ND, OH, WY, & WA]
STOP GAP COVERAGE ONL
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TYPE OF INSURANCE
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
V'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO-
JECT LOC
OTHER:
SCHEDULED
AUTOS
NON -OWNED
AUTOS ONLY
PHYS DAM
OCCUR
CLAIMS -MADE
DED I I RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under •
DESCRIPTION OF OPERATIONS below
X
XX
UMBRELLA LIAR
EXCESS LIAB J
r°MOBILE LIABIL
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
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AUTHORIZED REPRESENTATIVE
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GILROY CITY CLERK'S OFFICE
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ACORD 25 (2016/03)