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COI - Mobilitie, LLC - Expires 2021-11-11
ACC ® RTI F I CATS O F LIABILITY nATE (MMIDD/YYYY) CERTIFICATE ABILITY INSURANCE 1111612020 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 riot confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marsh Risk & Insurance Services NAME:FAX 17901 Von Karman Avenue, Suite 1100 PHONE `":j: _ A/C No): (949) 399-5800; License #0437153 ADDRESS: Irvine, CA 92614 INSURERISt AFFORDING COVERAGE NAIC # _CN131042479-Prof-GAUW-20-21 CAGI LRO INSURER A: National Fire Insurance Company of Hartford 20478 INSURED Mobifilie, LLC INSURER B : Transportation Insurance Co 20494 — — 660 Newport Center Drive, Suite 200 INSURER C : Continental Insurance Company 35289 Newport Beach, CA 92660 INSURER D : Great American E&S Insurance Company _ 37532 INSURER E: Underwriters at Lloyd's, London EC145 INSURER F COVFRAGFS CFRTIFICATF NI IMRFR- I ns-1`10sl 110s4417 RFVIClnfJ NI IMRFR• 1 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 VA T H RESPECT TO WHICI I 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY 7011613127 11/11/2020 11/11/2021 EACH OCCURRENCE ' Is 1,000,000 CLAIMS -MADE U OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE I $ 2,000,000 POLICY a JE LOC I —-._�—_._ -- PRODUCTS - COMP/OP AGG_ -� -- 2.000,000 $ $ OTHER: B I AUTOMOBILE LIABILITY X� ANY AUTO 7011617453 11/11/2020 11/1112021 COMBINED SINGLE LIMIT Ea accident y 1,000,000 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident! PROPERTY DAMAGE Per accidence , $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR 7011628002 11/11/2020 11/11/2021 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10 000 $ C C WORKERS COMPENSATION AND EMPLOYERSLIABILITY ' Y / N ANYPROPRIETORlPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N / A 7011603259 (AOS) 70116040$6 (CA) 11/11/2020 11/11/20 1 11/11/2021 X PER OTH- STATUTE ER__ E.L. EACH ACCIDENT $ 1000 000 — - -- E.L. DISEASE - EA EMPLOYEE — --- $ 1,000,000 if yes, describe under DESCRIPTION OF OPERATIONS below — --- �- E L. DISEASE - POLICY LIMIT $ 1,000,000 D Palution Liability PRE315985705 11/11/2020 11/11/2021 Limit (SIR:$25.000): 5.000,000 E Professional Liability B0621 PMOB1000919 11111/2019 12/1112020 Limit (Ded:$25,000): 5,000,000 DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The City, and its elected and appointed council members, board members, commissioners, officers and officials are included as additional insu,,.J where required by written contract with respect to General Liability and Auto Liability. Waiver of subrogation is applicable where required by written contract and subject to po!icy terms and conditions with respect to General Liability, Auto Liability and Workers Compensatiun. GERTIFICATE HOLDER CANCELLATION City of Gilroy 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 of Marsh Risk & Insurance Services Tracy Alegre ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD