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COI - Method Construction, Inc. - Expires 2022-12-300 0 METHCON-01 DATE (MM/DD/YYYY) 7/29/2022 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 Veronica Castro NAME: PHONE FAX (A/C, No, Eat(: (408) 280-5551 (A/C, No): E-MAIL ADDRESS: rcastro@jmoreyins.com Y Ix U 20052 18031 40045 z N m 00 M INSURER(S) AFFORDING COVERAGE INSURER A : Kinsale Insurance Company INSURER B : National Liability & Fire Ins. INSURER C : Topa Insurance Company INSURER D : StarNet Insurance Company INSURER E : INSURER F : '4c-c,R CERTIFICATE OF LIABILITY INSURANCE PRODUCER License # 0655907 The J. Morey Company, Inc. 184 Jackson St. San Jose, CA 95112 INSURED Method Construction, Inc. P.O. Box 2702 Gilroy, CA 95021 REVISION NUMBER: co W 0 w 0 U 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 $ 1,000,000 Co O O 0tr;0 0 F» O O O en O O O 0 O r» $ 2,000,000 000`000`Z ca 0 C. O 0 O O es 63 69 69 Fn $ 5,000,0001 $ 5,000,000 » $ 1,O110,0001 O O O 00 O O ss Co O O O O ss DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are listed as additional insureds in respect to general liability. Coverage is primary and non- contributory. Waiver of subrogation applies. EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG I COMBINED SINGLE LIMIT (Ea accident)_ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE X STATUTE EERH E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT o W ❑ U J� a2 N N N O M N 0N N el' 12/30/2022 8/1/2023 POLICY EFF (MM/DD/YYYY) N O N O M N...... N 0 N Tt 12/30/2021 8/1/2022 POLICY NUMBER 0100045859-5 73APR399488 XL00201427-04 BNUWC0137522 R ECL,DML D } AUG 0 3 2022 a'❑ m? X X X J❑ °y o ¢� X X ¢ Z TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR POLICY X JECT LOC OTHER: r ¢ SCHEDULED AUTOS NON -OWNED AUTOS ONLY OCCUR CLAIMS -MADE DED 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 UMBRELLA LIAB EXCESS LIAB OWNED AUTOS ONLY HIRED AUTOS ONLY X X X yI- ZJ Q 0a 0 0 CANCELLATION W Z 0 W W W CO re > W w W U Z U W CO J ( W_ W ,_Z Q ZO w — "-O Fe O0 w C.) FJ O a a of I I H Z� w O� 0 Hw } QU Z �Z a¢ p X❑ w O o V) F < W U N W a) O > Cl) a NC • E W a) J 13 C) c L m N U is >- J_ 0 C.. N1 CERTIFICATE HOLDER a) u m O y�0 N `f=0 Y) O c O =coQ ocU O � T U n 0 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BNUWC0137522 WC 04 03 06 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY $ F. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (Blanket) G/.- \ # °/ a)§ > / £\ g 2 e % 0 k a) Any party with whom the insured agrees to waive subrogation in a written contract. k< m 0 Endorsement No.: Policy Number: BNUWC0137522 Endorsement Effective Dat StarNet Insurance Company Insurance Company: Insured Name: Method Construction, Countersigned By