COI - Wachter, Inc. - Expires 2022-08-01AC'QRtf CERTIFICATE OF LIABILITY INSURANCE
`. 8/1/2022
IDATE(MMIDD/YYYY)
07/27/2021
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 Lockton Companies
CONTACT
NAMEa
PHONE FAX
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
E-MAIL
(816) 960-9000
INSURERS AFFORDING COVERAGE
NAIL 9
INSURER A: Liberty Insurance Corporation
42404
INSURED WACHTER, INC.
INSURER B: Employers Insurance Company of Wausau
21458
INSURER C :
969 16001 WEST 99TH STREET
LENEXA KS 66219
INSURER D
INSURER E :
INSURER F :
f<Fia]U :J -14ei X ai =1 :4 i l :1 (of-% 11 =111:11ri =kT11;-3ral35 'IN I I Id,1 _1 :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 WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
ALL E TERMS, EXCLUSIONS AND COIS DITIONS F SUCH POLICIES. LIMITS OWMAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
LTR
TYPE OF INSURANCE
ADDLSUBR
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MMIDDIYYYY
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
N
N
TB7-691-472101-021
08/01/2021
08/017-1-02-2
EACH OCCURRENCE
$ 2,000,000
PREMISES (Ea
$ 300OOO
MED EXP An one person)$
10.000
PERSONAL & ADV INJURY
$ 2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
AUTOS ONLY HIREDX ANONO-0O NON -OWNED
X PHYS DAM
N
N
I
AS7-691-472101-011
08/01/2021
08/01/202
COMBINED SINGLE LIMIT
$ 3,000,000
BODILY INJURY (Per person)
$ XXXXXXX
rx
BODILY INJURY (Per accident)
$ XXXXXXX
P�eOaccgt AMAGE
$ XXXXXXX
Com /Coll Ded
$ 5,000
A
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
TH7-691-472101-041
08/01/2021
08/01/202
EACH OCCURRENCE
$ 2,000,000
X
AGGREGATE
$ 2,000,000
DED I RETENTION $
$
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORlPARXECurIVE
N
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory In Nil)
If yes. describe under
DESCRIPTION OF OPERATIONS below
N l A
N
WCC-691-472101-031
EXCL. ND, OH, WY, & WAI
[STOP GAP COVERAGE ONLY]
08/01/2021
08/01/2021
08/01/202
08/01/202
X PE H-
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 I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required)
FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE
CERTIFICATE HOLDER.
LrCri I Ir'K.A 1 C rIULLor—m L.AIYL.GLLA I IUIY VGG 1-%LLCM I II I IV IL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
15950872
AUTHORIZED REPRESENTATIVE
City of Gilroy
7351 Rosanna Street
Gilroy CA 95020
I t— '*_' K,j w7ore&
ACORD 25 (20161031 Cc31989-2015 CORD CORPORATION_ All rights reserved
The ACORD name and logo are registered marks of ACORD
`( • 9
Attachment Code: D564542 Master ID: 6969, Certificate ID: 15950872
Lockton Companies
444 W. 47th Street, Suite 900
Kansas City, MO 64112
WACHTER, INC..; 6969
15950872
City of Gilroy
7351 Rosanna Street ,
Gilroy, CA 95020
Dear Valued Client:
In our continuing effort to provide timely certificate delivery, Lockton
Companies is utilizing paperless delivery of Certificates of Insurance.
To ensure electronic delivery for future renewals of this certificate, we
need your email address. Please contact us via the email below and reference
Certificate ID: 15950872. You must reference this Certificate ID number in
order for us to complete this process.
�9 Certificate ID: 15950872
�P Email: kctsu@lockton.com
V Subject Line: TSU E-Delivery
If you received this certificate through an internet link where the current
certificate is viewable, we have your email and no further action is needed.
Please note that after February 2022, printed certificates will no longer be
available.
If you no longer need this certificate, please contact us at the email
address above, reference the Holder ID number and use this subject line:
"Certificate Removal"
NOTE: The above email is a collector email regarding electronic delivery of
certificates only. Please do NOT send certificate requests or other insurance
inquiries to this inbox as responses will be delayed or missed.
Thank you for your cooperation and willingness in reducing our environmental
footprint.
Lockton Companies
Technical Services Unit
Email l Mailing Update - Liability Certificates