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COI - Hexagon Transportation Consultants, Inc. - Expires 2021-03-01
ACORD CERTIFICATE �� CERTIFICATE OF LIABILITY INSURANCE E roD1Y1fYY) DATE(MMMM2020 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 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 RC Fischer Co 1301 Ygnacio Valley Rd #100 Walnut Creek CA 94596 NAMEACT Samantha Dutra PHONE FAX (NC No. Ext)• 925-627-5467 (NC, No): 925-932-0962 E-MAIL sdutra@rcfischer.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : The Travelers Indemnity Company of Connecticut 25682 INSURED HEXAG-1 Hexagon Transportation Consultants, Inc. 4 North Second St., #400 San Jose CA 95113 INSURER B : Technology Insurance Company, Inc. 42376 INSURER C : Argonaut Insurance Company 19801 INSURER D : The Travelers Indemnity Company 25658 INSURER E : Travelers Property Casualty Company of America 25674 INSURER F : COVERAGES CERTIFICATE NUMBER: 379432250 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TERM OR CONDITION OF ANY CONTRACT PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM!DYYYY) POLICY EXPDI (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y 6807H532991 3/1/2020 3/1/2021 EACH OCCURRENCE $ 2,000,000 GE TO Pp EM ES Ea occurrence) RS $1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000.000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE X LIMIT APPLIES JECT PER: LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ D AUTOMOBILE X LIABILITY X SCHEDULED AUTOS NON-OWNED AUTOS BA9H798647 3/1/2020 3/1/2021 COMBINED SINGLE LIMIT (Ea accident) $ 1.000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ E X UMBRELLA LIAB EXCESS LIAB X OCCUR I CLAIMS -MADE CUP5819P929 3/1/2020 3/1/2021 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYIPROPRIE ER EXCLUER E ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N Y N ! A T1AC3855981 3/1/2020 3/1/2021 X 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 C Professional Liability Claims -Made Form AE000328801 3/1/2020 3/1/2021 Each Claim $2,000,000 Aggregate $2,000,000 Deductible $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Project: Santa Teresa Blvd. Townhouse Project City of Gilroy, its officers, officials and employees are named as an additional insured. ERTIFICATE HOLDER CANCELLATION 1 City of Gilroy its officers,officials and employees 7351 Rosanna Street Gilroy CA 95020 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 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD