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ACORV
' CERTIFICATE OF LIABILITY INSURANCE
TE
DA12/07/20221 YI
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 endorsements .
PRODUCER
CONTACT
NAME:
CS&S/PROFESSIONAL INS ASSOCIATES
PHONE
FAX
A/C. No. Ext):
A/C. No):
PO BOX 958489
EMAIL
ADDRESS:
Lake Mary, FL 32746-8989
INSURER(S) AFFORDING COVERAGE
NAIC #
1-877-724-2669
INSURER A: Continental Casualty Company
20443
INSURED
INSURER B:
INSURER C:
THE BAY AREA CORPORATION
INSURER D:
13005 FIRCREST DR
INSURER E:
SAN MARTIN, CA 95046
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANDINGANY 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
VWD
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MMIDD/YY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
4031328174
01 /17/22
01 /17/23
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE �X OCCUR
DAMAGE TO RENTED
PREMISES (Eaoccurance)
S 1,000,000
MED EXP (Any one person)
S 10,000
PERSONAL & ADV INJURY
S 19000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
S 2 QQQ 000
POLICY JECOT \ LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER:
COMBINED SINGLF LIMIT
AUTOMOBILE LIABILITY
(Ea accident)
S
BODILY INJURY(Per person)
S
ANY AUTO
OWNED AUTOS SCHEDULED
ONLY AUTOS
BODILY INJURY(Per accident)
S
PROPERTY DAMAGE
HIRED AUTOS NON -OWNED
ONLY AUTOS ONLY
(Per accident)
S
S
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
S
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DEDI
RETENTION S
$
WORKERS COMPENSATION
PER
OTH-
AND EMPLOYERS' LIABILITY Y/N
STATUTE
IER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERWEMBER EXCLUDED? ENIA
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory In NH)
If yes. describe under
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS below
OTHER
PER
STATUTE
OTH-
IER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Acord 101, Additional Remarks Schedule, may be attached if more space Is required)
Certificate Holder is named as Owner/Lessee/Contractor (A)
Location #1 13005 FIRCREST DR, SAN MARTIN, CA, 95046
CERTIFICATE HOLDER CANCELLATION
CITY OF GILROY, ITS OFFICERS, OFFICIALS, AGENTS, AND
EMPLOYEES
7351 ROSANNA ST
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.
J �J
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD