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COI - Alpha Technologies Services, Inc. - Expires 2024-06-10
ACORO® CERTIFICATE OF LIABILITY INSURANCE DM05120UDDIYYYY7 osloslzoz3 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 LLC 1717 Arch Street Philadelphia, PA 19103-2797 CONTACT NAME: PHONE FAX Na E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Travelers Property Casualty Comparry of America 25674 CNIO2741033-GAWUX-23-24 INSURED Alpha Technologies Services, Inc. INSURER B: ACE Property & Casualty Insurance Company 20699 INSURER C : 3767 Alpha Way Bellingham, WA 98226 INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-006810981-07 REVISION NUMBER: 2 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 TYPEOFINSURANCE ADDLSUBR POLICYNUMBER POLICY EFF MMIDD/YYYY) POLICY EXP (MMIDDMYYI LIMITS A X COMMERCIAL GENERAL UASIUTY CLAIMS -MADE I OCCUR TC2JGLSA-2J70635123 06/10/2023 06/10/2024 EACH OCCURRENCE $ 2,000,000 PREMISES lEa occurrence $ 1,000,000 X MEO EXP (Any one pemn) $ 10,000 Contractual Liability PERSONAL &ADV INJURY $ 2,000,000 GENL X AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO - POLICY LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMPIOP AGG $ 4,000,000 $ OTHER. A• AUTOMOBILE LIABILITY TC2JCAP2J70634ATIL23 06/1012023 06/10/2024 COMBINED SINGLE LIMIT Ea acciden1_- $ 3,000,000 X BODILY INJURY (Par Person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per a.denl $ HIRED y( NON -OWNED AUTOS ONLY AUTOS ONLY $ X UMBRELLAUAB OCCUR XEUG72582652002 06/1012023 06/10/2024 EACH OCCURRENCE $ 5,000,000 N AGGREGATE $ 5,000,000 EXCESS UAB CLAIMS -MADE OED RETENTIONS $ A A WORKERSCOMPENSATION AND EMPLOVERS'1lABILITY YIN AND EMPLOYERS' OFFICER/MEMBEREXCLUDED? (Mandatory in NH) NIA UB9R7251862351K(ADS) UBiS82118A2351R AZ, MA, WI ( j 06170I2023 06/10/2024 06/1012024 X PER 0TH. STATUTE ER E.L EACHACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1.000•OW It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remar . Schedule, may be attached If more space is required) City of Gilroy, its officers,of6cials and employees are included as additional insureds under the General Liability, Automobile Liability and Umbrella Liability Policies, ATIMA, as respects for work, supply and/or services being provided or performed by or on behalf of the Named Insured as per written contract, purchase order or agreement and subject to the teans and conditions of the policies. Professional Liability Beazley Insurance Company, NAIC 37540 Policy # C2753B210301 Term: 8129121- 7/30122 CERTIFICATE HOLDER CANCELLATION MD City of Gilroy M9190 v SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 Rosanna Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Gilroy, CA 95020 JUN 12 2023 ACCORDANCE WITH THE POLICY PROVISIONS. GILROY CITY CLERICS OFFICE AUTHORIZED REPRESENTATIVE �s�•>� acs�u �G ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD V Ca `C ...t 0 00 D� ul N A) O N (D r« AGENCY CUSTOMER ID: CN102741033 LOC #: Philadelphia ACC ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Marsh USA LLC NAMED INSURED Alpha Technologies Services, Inc. 3767 Alpha Way Bellingham, WA 98226 POLICY NUMBER 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 CONTINUED FROM DESCRIPTION SECTION: Limit: $2.000,000 SIR $100.000 EXCESS LAYER 1 CARRIER: ASCOT INSURANCE COMPANY POLICY NUMBER: EXNA231000003402 EFFECTIVEIEXPIRATION DATES: 06/10/2023 - 06/1012024 LIMITS: $15M (PART OF $25M) XS $10M EXCESS LAYER 1 CARRIER: ALLIED WORLD SPECIALTY INSURANCE COMPANY POLICY NUMBER: 03067304 EFFECTIVE/EXPIRATION DATES: 06/10/2023 - 06/1012024 LIMITS: $10M (PART OF $25M) XS $25M EXCESS LAYER 2 CARRIER: GREAT AMERICAN SECURITY INSURANCE COMPANY POLICY NUMBER: EXC5125585 EFFECTIVE/EXPIRATION DATES: 06/10/2023 - 06/10/2024 LIMITS: $15M XS $35M TOTAL: $50M ACORD 101 (2008/01) 01,79-01.00.0001063-0002-0002337 © 2008 ACORD CORPORATION. All rights i The ACORD name and logo are registered marks of ACORD 60 Marsh Dear Certificate Holder: To streamline certificate delivery for our clients and in an effort to support our firm's commitment to sustainability, going forward, we will only be providing renewal certificates of insurance electronically. If you need to continue receiving a copy of the attached certificate, please send an email to USOperations.email@marsh.com and include the following: -- Certificate # (Shown below Insured Name — e.g., ABC-123456789-01) -- E-Mail for future delivery For your convenience, If we do not receive your response, we will conclude that you no longer require proof of insurance from the named insured and will remove you from our records. Thank you, US Operations, Marsh USA, LLC A bu-�ine5s of Marsh McLennan