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COI - Temp Power Systems - Expires 2022-11-11TEMPPOW-01 JLOF ,4`oRo CERTIFICATE OF LIABILITY INSURANCE DATE (MMmonYYYI 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 poliey(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 Jessica LODeZ INSURED The Company Temp Power Systems 8929 Irvine Center Drive, Ste 200 Irvine, CA 92618 COVERAGES CFQTICICATC U""Rco. PHONE FAX (A/C, No, Eat): (949) 287-5677 (kC, No): aI DREss:jlopez@ thebrokerageins.com INSURERS) AFFORDING COVERAGE NAIC4 INSURER A:Tok o Marine. Specialty Insurance Company 23850 INSURER B: NATIONWIDE MUTUAL INSURANCE COMPANY 23787 INSURER C:ICW - INSURANCE COMPANY OF THE WEST 27847 INSURER O: INSURER E: 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 TYPE OF INSURANCE aODL 9UBDR' POLICY NUMBER POLICY EFF MMIDDNYYYI bP�OLICY EX LIMBS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE S CLAIMS -MADE X OCCUR PPK2347194 11/11/2021 11/11/2022 _ __ DAMAGE TO RENTED 1,000,000 - PREMISES (Ea o=nence) _ _ $ MED EXP(Any one person)_ $ _ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALA_GGREGATE S 2,000,000 POLICY X'. PEA _ LOC PRODUCTS -COMP AGG $ _—�- — — 2,000,000 .OTHER: S B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 EaacH _ S ANY AUTO __ ACP 3100291755 118/2022 1/8/2023 BODILY BODILY INJURY (Per parson) S OWNED SCHEDULED '- AUTOS ONLY _AUTOS BODILY INJURY (Per accident) ,S HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY -AUTOS ONLY (Per acc_ch _ S A X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS -MADE PUB792423 11/11/2021 11/11/2022 5,000,000 _ _'� AGGREGATE _ s DIED RETENTIONS C WORKERS COMPENSATION �( PER OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y N X WSD506230401 10/1/2022 10/1/2023 STATUTE ER_ E.L. EACH ACCIDENT S 1000000 + + IM OFFICEREMgER EXCLUDED? NIA MandatoryIn NN -- _ - 1,000,000 EL DISEASE =FA EMPLOYEE, S If yes, deacnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required) RE: Track #IN-2898 - City of Gilroy, CA. WCWV Waiver of Subrogation for Workers' Compensation: See Attached Endorsement. ANYDESCRIB LD ELLED Rosanna St. �GILROYCITY CLERKS OFFICE I THEUEXPIRATTIIONH DATTEV THEREOFE NOTICEEWLLCBECDELIVERED IN BEFORE 7351 R City Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 _ AUTHORIZED REPRESENTATIVE . ,Umu co (AU101us1 © 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JLOPEZ AcoRV' AGENCY CUSTOMER ID: TEMPPOW-01 LOC #: 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Commercial The Brokerage NAMED INSURED Temp Power Systems 892g Irvine Center Drive, Ste 200 Irvine, CA 92618 POLICY NUMBER SEE PAGE 1 CARRIER NAIL CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE: M - - SEE PAGE1 nr%16 nV.mr4nn0 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Cancellation: *Should this policy be cancelled before the expiration date, The Brokerage, an Alera Group Company will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* *Except 10 Days Notice of Cancellation for Non -Payment of Premium. wVVRY 7{/l �L�IUDlN7) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD co 0 0) 0) 0 05 w W Z J Lxi i— W w 0 W w N 2 w U. 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