COI - Baymarr Constructors, Inc. - Expires 2023-03-01ACOR[DCERTIFICATE OF LIABILITY INSURANCE
DATE(M
��
12022YY)
2/242022®
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 (NSURER(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
CONTACT
NAME: Amy Cowan
CB Specialty Insurance Services
1800 19th Street
PHONE FAX
A/c o Ext : 661-283-8100 MC No): 661-283-8111
A DRIESS: cowan@cliffordandbradford.com
Bakersfield CA 93301-4315
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: National Union Fire Ins. Co. of Pittsburgh, PA
19445
INSURED BAYMA-1
INSURER B : Travelers Property Casualty Company of America
25674
Baymarr Constructors, Inc.
6950 McDivitt Drive
INSURER c :The Ohio Casualty Ins Co.
24074
INSURERD: AIU Insurance Company
19399
Bakersfield CA 93313
INSURER E : Evanston Insurance Company
35378
INSURER F
COVERAGES CERTIFICATE NUMBER:1628298714 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.
INSR
LTR
TYPE OF INSURANCEADDLSUBR
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
GL5180279
3/1/2022
3/1/2023
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE a OCCUR
DAMAGE To REITIM
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 25,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY EC� JT a LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
Employee Benefits
$1,000,000
OTHER:
A
AUTOMOBILE LIABILITY
CA2961707
3/1/2022
3/1/2023
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
Camp/Coll Deductibles
$ 250 / $250
X PHYSICAL DMG
B
X
UMBRELLA LIAB
X
OCCUR
CUP1T39424122NF
3/1/2022
3/1/2023
EACH OCCURRENCE
$ 9,000,000
AGGREGATE
$ 9,000,000
EXCESS LIAR
CLAIMS -MADE
DED X RETENTION $ 1n nnn
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE YIN
WC012016051
3/1/2022
3/1/2023
XPER
STATUTE ERH
CA
E.L. EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1.000,000
C
E
Rented/Leased/Borrowed Equipment
POLLUTION LIABILITY
PROFESSIONAL LIABILITY
BK056591271
MKLV5ENV103162
3/1/2022
7/6/2021
3/1/2023
7/6/2022
Limil/Deductlble
PER OCC/AGG/DED
PER OCC/AGG/DED
$100,000/$2,500
$1 M/$2NU 2,500
$2M/$2M/$2,500
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
ENDORSEMENTS ATTACHED AND/OR DESCRIBED HEREIN APPLY WITH RESPECTS TO THE OPERATIONS OF THE NAMED INSURED AS
REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS; SUBJECT TO STATUTE AND POLICY PROVISIONS.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Gilroy
7351 Rosanna Street
AUTHORIZED REPRESENTATIVE
Gilroy CA 95020
134_�
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD