COI - 3M Company - Expires 2023-03-01_ Page 1 of 1
DATE (MM1DDlYYYY)
�. CERTIFICATE OF LIABILITY INSURANCE 02/03/2022
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 CONTACT Willis Towers Watson Certificate Center
NAME: _
Willis Towers Watson Midwest, Inc. PHONE Extl*1-877-945-7378 PAX
No 1-888-467-2378
C/o 26 Century Blvd E-MAIL
P.O. Box 305191 ADDRESS: certificates@willis.com
Nashville TN 372305191 USA
INSURER(S) AFFORDING COVERAGE NAIC p
-
INSURER A: Old Republic Insurance Company 24147
INSURED
INSURER B :
3M Company
3M Insurance Department
INSURER C : _
Bldg 224-5S-29
INSURER D :
St. Paul, NN 55144
COVFRAnFR f_FRTIFIf_ATF MIIIURRR- W23885264 QCVICInKI A11IReoc0.
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.
LTR ' TYPE OF INSURANCE INSD WVD POLICY NUMBER
POLICYEFF POUCYEXP .I
MM/DD/YYY MM/DDIYYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $
10,000,000
CLAIMS MADE X 1 OCCUR
DAMAGE TO RENTED
I PREMISES (Ea occurrence$___
1,000,000
A
MED EXP (Any one person) $
MWZY 315305
03/01/2020
03/01/2023 PERSONAL & ADV INJURY $
10, 000, 000
GEML AGGREGATE LIMIT APPLIES PER:
i GENERAL AGGREGATE $
10, 000, 000
POLICY i JE� LOC
PRODUCTS - COMP/OP AGO :$
10, 000, 000
OTHER:
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
Ea accident _ ,----_- _-- -• - _
2,000,000
X ANY AUTO
BODILY INJURY (Per person) $
A
OWNED ! SCHEDULED MWTB 315303
AUTOS ONLY AUTOS
1
03/01/2020 03/01/2023 BODILY INJURY {Per accident) $
H
HIRED j NON -OWNED
HIRED
PROPERTY DAMAGE $
ONLY AUTOS ONLY
-j
(Per accidence.
UMBRELLA LIAB I OCCUR
EACH OCCURRENCE $
j EXCESS LIAB 1 CLAIMS -MADE
AGGREGATE $
DED (7 RETENTI -
I 1 ON$
�
- ----
1$
WORKERS COMPENSATION
X
AND EMPLOYERS' LIABILITY YIN
STATUTE EOTH-
R
�— --- _-2,000,000
A ANYPROPRIETOR PARTNER/EXECUTIVE
$
No N f A
OFFICER/MEMBEREXCLUDED. HWC309963-22
03/01/2022
03/01/2023
(Mandatory In NH)
` E.L. DISEASECEA EMPLOYEEI
2,000,000
yes. describe under
DESCRIPTION OF OPERATIONS below
i E.L. DISEASE • POLICY LIMIT $
2,000,000
� I
i
j I
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
Ut;hllrR:AIIt MVLUt:K GANGELLATION
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
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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