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COI - Brightview Tree Care Services, Inc. - Expires 2021-10-01,....----.410 ® ,°'Ro CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/30/2020 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 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. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT NAME:. PHONE N Ext): (866) 283-7122 FAX No.): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED BrightView Tree Care Services, Inc. Location #49260 530 Aldo Avenue Santa Clara CA 95054 USA INSURER A: ACE American Insurance Company 22667 INSURER B: American Guarantee & Liability Ins Co 26247 INSURERC: Great American Insurance Co. 16691 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570084256074 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 INSO SUBR WVD POLICY NUMBER POLICY EFF (M�M/DD/YYYY) POLICY EXP fs MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY XSLG71080961 1U/01/2-020 10/01/2021 EACH OCCURRENCE $2 , 000, 000 CLAIMS -MADE X OCCUR SIR applies per policy terms & conditions DAMAGE TO RENTED PREMISES (Ea occurrence) S2,000,000 MED EXP (Any one person) $10 , 000 PERSONAL & AM INJURY $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S5,000,000 JECT PRO- POLICY X X LOC PRODUCTS - COMP/OP AGG $ 5 , 000 , 000 OTHER: A AUTOMOBILE LIABILITY ISA H25260119 10/01/2020 10/01/2021 COMBINED SINGLE LIMIT (Ea accident) S5,000,000 X ANY AUTO BODILY INJURY ( Per person) - OWNED - SCHEDULED AUTOS BODILY INJURY (Per accident) - AUTOS ONLY HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) - ,_,_. B X UMBRELLA LIAB X OCCUR AUC508596816 10/01/2020 10/01/2021 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $3,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WLRC50803867 10/01/2020 10/01/2021 x PER STATUTE OTH• ER A ANY PROPRIETOR / PARTNER / EXECUTIVE Y / N N N/A WC - AOS SCFC50803880 10/01/2020 10/01/2021 E.L. EACH ACCIDENT S2,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory In NH) WC - WI E.L. DISEASE -EA EMPLOYEE S2,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 492600103 City of Gilroy, Various locations, Gilroy, CA 95020 CERTIFICATE HOLDER CANCELLATION Holder Identifier : VNS 6-1 - City of Gilroy Attn: Bill Headley 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 ts4 glet9f.i. „Arier...... tifaid 'M ar ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AON Aon Client Services 4 Overlook Point Lincolnshire, IL 60069 MDG2020 00005676 01 IIllllilllllIIIl,IiIIIIuI11I'IIiuIIIIIIIIIIuiIIuIuIIIiiiiIiIIIuII City of Gilroy Attn: Bill Headley 7351 Rosanna Street Gilroy CA 95020 * * 000000 01 01 005676 013794 P