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COI - The Fishel Company - Expires 2024-06-01Ac6 o® CERTIFICATE OF LIABILITY INSURANCE DAT5 0125/)D/YYYY) /25/2023 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, ANDTHE 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 McGriff Insurance Services, LLCAX P.O. Box 10265 NAME Lindsay Tidiness 205-583-9891 IMC,PHONMo.E 1-8U0-47F2211 p/C No): Birmingham, AL 35202 ADDRESS: ltidmom@mcgdff.com INSURERS AFFORDING COVERAGE NAIL0 INSURER American Contractors Insurance Company RRG 12300 INSURED The Fishel Company INSURER B: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:2Z3623PR 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 INSURANCE J= MD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMMD LIMITS A' X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR GL23A00075 GL23800075 GL23C00075 06/01/2023 06/01/2024 EACH OCCURRENCE $ 5,000,000 PREMISES Ea caurtence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL& ADV INJURY IS 51000,000 X GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 5,000,000 POLICYIIJECT 0LOC PRODUCTS-COMP/OP AGG $ 5,000,000 It OTHER: A AUTOMOBILE LIMIL" AL23000026 06/01/2023 06/01/2024 COMBINED SINGLE LIMIT 5,000,000 X BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BODILY INJURY (Per &.Went) $ PROPERTY DAMAGE Pera.itlant $ HIRED I NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS DAB 0.AIMSMADE DED I I RETENT! 5 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEW5XECUTIVE OFFICERIMEMSER E%CLUDE09 a (Mandatory In NH) NIA WCA000024923 WCAOD0024723 WCAOD0024823 06/01/2023 06/01/2024 X PER OTH- TAT _ E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 If yes desvibeurWer DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 B EquipmenVlnstallation Floater Equip. Deductible - $25,000 Install. Deductible - $10,000 O -530:3H5537 5-TI -23 O6/01/2023 06/01/2024 Sc ed. qwp. on a w cro Leased/Rented Equipment Installation Floater $ 2,000.000 $ 2,000,000 Temporary Location Transit S 1,000,000 $ 1000000 DESCRIPTION OF OPERATIONS LOCATIONS IVEHICLE9 (ACORD 101,Addbionat Remarks Schedule. may beaUechod if more spew is mourned) Project: PLACING 14" 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. UtKI Il-IUAI t nULUtrc 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 9 MAY 0 0 :. Si ACCORDANCE WITH THE POLICY PROVISIONS. GILROY CITY CLERK'S OFFICE I I AUTHORMED REPRESENTATIVE ACORD 25 (2016/03) Page 1 of 1 The ACORD name and logo are registered marks of ACORD reserved.