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COI - The Fishel Company - Expires 2022-06-01ACOORDa `� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 05/21/2021 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 endorsements . PRODUCER McGriff Insurance Services, Inc. P.O. Box 10265 Birmingham, AL 35202 NAME: CONTACT Sally Harris PHONE 800-476-2211 FAX N Ext : A/C Noll: E-MAIL ADDRESS: shares@mcgdff.com INSURER(S) AFFORDING COVERAGE NAIC A INSURER A :American Contractors Insurance Company RRG 12300 INSURED The Fishel Company INSURER a :Travelers Property Casualty Company of America �� 25674 INSURER C .ACIG Insurance Company 19984 1366 Dublin Road Columbus, OH 43215 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:SEUWPXNN 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. ILTR TYPE OF INSURANCE L POLICY NUMBER i MM/DDNYYY MM1DDN)OLY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL21A00075 ; 06/01/2021 GL21B00075 GL21C00075 06/0112022 EACH OCCURRENCE DAMAGE TO RENT_ PREMISES Eaoccu ence S 5,000.000 S 100,000 S 5,000 MED EXP (Any one person) X PERSONAL & ADV INJURY S 5,000,000 S 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a EC LOC I GENERAL AGGREGATE PRODUCTS - COMP/OP AGG S 5,000,000 S - OTHER: A AUTOMOBILE LIABILITY AL21000026 06/01/2021 06/01/2022 COMBINED SINGLE LIMIT Ea accident S 5,000,000 BODILY INJURY (Per person) S X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BODILY INJURY (Per accident) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident S S I UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTION S S C 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? a i (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCA000024921 06/01/2021 06/01/2022 PER OTH- WCA000024721 XSTATUTEER WCA000024821 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE , O EE - — i E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1,000,000 - S 1,000,000 B Equipment/Installation Floater Equip. Deductible - $25,000 Install. Deductible - $5,000 QT-630-31-1553725-TIL-21 06/01/2021 06/01/2022 Sched. Equip. on file w/ co Leased/Rented Equipment Installation Floater S S 2,000,000 S 2,000.000 Temporary Location S 1,000,000 Transit S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Project: PLACING 1-4" GRS CONDUIT AND ATTACHING TO THE OUTSIDE OF LUCHESSA AVENUE BRIDGE IN GILROY, CA. City of Gilroy, its employees, officers, agents, officials and volunteers are added as additional insured with respects to General Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION 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 Page 1 of 1 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Aco AGENCY CUSTOMER ID: CN 102736896 LOC #: Washington en111TIMIA1 Q9=nneQk_Q Ar_NIni ii F Paae 2 of 2 - -- - - - - - - -- -- - ------ -- -- -- - - - --- - -- - AGENCY NAMED INSURED MARSH USA, INC. DEWBERRY ENGINEERS INC. DBA DEWBERRY l DRAKE HAGLAN POLICY NUMBER 11060 WHITE ROCK ROAD, SUITE 200 RANCHO CORDOVA, CA 95670 CARRIER NAIC CODE [EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance The general liability and auto liability insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. Severability of Interest applies to the General Liability policy. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions with respect to general liability, auto liability, and workers compensation. AS RESPECTS THE PRIMARY LAYER ONLY OF THE PROFESSIONAL LIABILITY COVERAGE EVIDENCED ABOVE, IF THIS POLICY IS CANCELLED BY THE INSURER, OTHER THAN FOR NON-PAYMENT OF PREMIUM, THE INSURER WILL PROVIDE 30 DAYS WRITTEN NOTICE TO CERTIFICATE HOLDER. ACORD 101 (2008101) 0261-01-00-0000263-0002-0000726 © 2008 ACORD CORPORATION. All rights i The ACORD name and logo are registered marks of ACORD c Dear Certificate Holder; As many companies have moved to a rernote working environment, mailing Certificates of Insurance to a physical address can cause unnecessary delays in providing you proof of insurance. To streamline delivery and in an effort to support our firms commitment to sustainability, going forward, we would like to distribute your Certificates of Insurance electronically if possible. We are kindly requesting Certificate Holders provide us an email address where we can deliver your COI in the future. Please send your response to: USOperations.email@marsh.com and provide the following information so that we can expedite your COI delivery: +� Certificate # (Shown below Insured Name — e.g.: ABC-123456789-01) E-Mail for future delivery: For undeliverable email addresses, our system is configured to automatically redirect the Certificate for deliiveryvia USPS. Lastly, if you no longer need this COI please respond to USC? erations.email marsh.com with the Certificate number and we will inactive the record in our system to avoid future automatic delivery. Thank you. US Operations, Marsh USA, Inc.