COI - LM Space Systems Co. - Expires 2023-09-01ACORO® CERTIFICATE OF LIABILITY INSURANCE
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D09/1412022DvrrY)
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
MARSH USA INC.
1050 CONNECTICUT AVENUE, SUITE 700
CONTACT
NAME`
INC, No. SIcti- PHONE F� No:
EMAIL
ADDRESS:
WASHINGTON, DC 20036.5386
INSURER(Sl AFFORDING COVERAGE
NAIC0
INSURER A: ACE Amedcan Insurance CompanyCompary
22667
CN102116000STNRD-9/1-22-23
INSURED
LM SPACE SYSTEMS CO.
INSURER B : NIA
N/A
INSURER C : WA
WA
CIO LOCKHEED MARTIN CORPORATION
INSURER D :
6801 ROCKLEDGE DRIVE
BETHESDA, MD 20817
INSURER E:
_
INSURER F :
COVERAGES CERTIFICATE NUMBER: CLE-005367712-43 REVISION NUMBER: 5
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.
ILTR
TYPE OF INSURANCE
A OL
UBR
POUCYNUMBER
MMIDDY/YYYY
MM/DDfYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
HOD G473D5792
09/01/2022
0910MO23
EACH OCCURRENCE
$ 3,000,000
CLAIMS -MADE Fx_1 OCCUR
PREMISES Ea oceurtenca
$ WA
X
MED EXP (Any oneperson)
$ WA
CONTRACTUAL LIABILITY
PERSONAL a ADV INJURY
$ 3,000.000
GENL AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 3,000,000
X POLICY ❑ PRO-
JECT ❑ LOC
PRODUCTS - COMP/OP AGO
$ 3,000,000
$
OTHER:
A
AUTOMOBILELIABILITY
ISAH10699861
0910112022
09/0112023
COMBINED SINGLE LIMIT
Ea accident
$ 4,000,000
X
BODILY INJURY (Per parson)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
INJURY accident)
$
MAGE
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAR
OCCUR
ENCE
kAGGREGATE
$
$
EXCESS DAB
CLAIMS -MADE
DED RETENTION$
$
WORKERS COMPENSATION ANDEMPLOYERS'LIABILRY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
I ER
E.L. EACH ACCIDENT
$
OFFICER/MEMBEREXCLUDED? ❑
NIA
E.L. DISEASE -EA EMPLOYEE
$
(Mandatory In NH)
If Yee, describe and r
If as PTION OF OPERATIONS below
E.L. DISEASE LIMIT
$
IT
DESCRIPTION
DESCRIPTION OF OPERATIONS / LOCATION$ I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required)
RE: Overweightlovedoad permits
The City of Gilroy is included as additional insured where required by wlilten contract.
CERTIFICATE HOLDER _ CANCELLATION
City of Gilroy
7351 Roo
SEP 22 2022
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
950St
ACCORDANCE WITH THE POLICY PROVISIONS.
GILROYCITY CLERKS OFFICE
AUTHORIZED REPRESENTATIVE
7'?Zivcd� ZCS� 9�Y
ACORD 25 (2016/03)
01988-2016 ACORD CORPORATION. All rights reserved.
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