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COI - LexisNexis Coplogic Solutions Inc. - Expires 2024-01-01AORO ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/202YYYY) 12/28/ 02� 2 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 AOn Risk Services Northeast, Inc. Boston MA Office 53 State Street Suite 2201 Boston MA 02109 USA CONTACT NAME: (A/C. No. Ext): (866) 283-7122 (A/C. No.): (800) 363-0105 ( E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED LexisNexis COplogic Solutions Inc. 1000 Alderman Drive Alpharetta GA 30005 USA INSURER A: ACE American Insurance Company 22667 INSURER B: Zurich American Ins Co 16535 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570097075281 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF ((MM/DD/YYYY POLICY EXP (MM/DD/YYYY)) LIMITS A X COMMERCIAL GENERAL LIABILITY Y OGLG46663160 01/01/2023 01/01/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE POLICY OTHER: LIMIT APPLIES PER: PRO JECT I X 1 LOC GENERAL AGGREGATE 12,000,000 PRODUCTS -COMP/OP AGG $1,000,000 Deductible $15 , 000 AUTOMOBILE LIABILITY ANY AUTO OWNED _ S SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below y / N N N / A WC837684524 01/01/2023 01/01/2024 x PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 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 Gil roy, its officers and employees are included as Additional Insureds with respects to the General Liability policy. CERTIFICATE HOLDER CANCELLATION Gilroy Police Department 7301 Hanna Street Gilroy CA 95020 USA RE ©MIWIAD JAN 2 5 2023 GILROY CITY CLERK'S OFFICE a�® SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Holder Identifier : 570097075281 Certificate No AUTHORIZED REPRESENTATIVE ,S4 ir�L%llJ1G r�6t�fCGr,Q c/ /� e.� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD • `