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COI - Bureau Veritas North America, Inc. - Certificate No. 570103170439 | Start Date: 2024-01-01 | End Date: 2025-01-011-0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) i2/22/2023 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, 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 Aon Risk Services Northeast, Inc. Aon Ri sk Services Northeast, Inc. NY NY Offi ce One Liberty Plaza 165 Broadway, suite 3201 NOW York NY 10006 USA CONTACT NAME: PHONE 866-2 8 3- 71.22 FAX 800- 363-0105 (NC. No, Ext): (A/C. No.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Bureau Veritas North America, Inc. 16800 Greenspoint Park Drive Suite 300s Houston TX 77060 USA INSURER A: Hartford Fire Insurance Co. 19682 INSURER B: Allianz Global Risks US Insurance co. 35 00 INSURER C: Trumbull insurance Company 27120 INSURER D: INSURER El IN CAR F: COVERAGES CERTIFICATE NUMBER: 570103170439 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, Limits shown are as requested INSR LTR TYPE OF INSURANCE ALRJ INSD SUBR WVD POLICY NUMBER POLICY ell- (MM/DO/YYYY1 1,oLicy EXP SktiM/DD/YYYY) LIMITS ll X COMMERCIAL GENERAL LIABILITY USL.00157324 01/01/2024 01/01/ 202 5 EACH OCCuRRENCE $2,000,000 DAMAGE TO RENTED PREMISES (E4 occurrence) $1,000,000 CLAIMS -MADE H OCCUR MED EXP (Any one person) $10, 000 PERSONAL & ADV INJURY $2,000,000 GNI_ AGGREGATE POLICY OTHER: X LIMIT APPLIES PER: PRO - GENERAL AGGREGATE $2,000,00° PRODUCT . COMP/OP AGG $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED S SCHEDULED AUTOS NON -OWNED AUTOS ONLY 10 AB S41202 AOS 01/01/2024 01/01/2025 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAR EXCESS DAB OCCUR CLAIMS.MADE EACH OCCURRENCE AGGREGATE DED RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) if yes, descibe under DESCRIPTIroN OF OPERATIONS below Y / N „, ''' N / A 10WNS41200 See State Policy Addendum 01/01/2024 01/01/2025 x PER STATUTE OTI+ ER E.L.EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 El. DISEASE -POLICY LIMIT $1,000,000 Architects & Engineers Professional USF00248024 Claims Made SIR applies per policy terns 01/01/2024 & condi-ions 01/01/2025 Each claim Aggregate 51,000,000 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Sohedule, may be attached if more space Is required) RE: Contract for 18-RFP-CDD-406 for on -Call Plan Review services. City of Gilroy, its officers, officials and employees are included as Additional Insured in accordance with the policy provisions of the Business Auto Coverage & General Liability coverage policy. CERTIFICATE HOLDER CANCELLATION Holder Identifier : 570103170439 city of Gilroy, its officers, officials and employees 7351 Rosanna Street Gilroy CA 95020 USA 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 1..Q4 Mai,15:ft,veb45 ,...../rateZzde ,X0. Certificate No 0 0 0 0 ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A4CC .7R�C7►ao AGENCY Aon Risk Services Northeast, Inc. POLICY NUMBER See Certificate Number: 570103170439 CARRIER See Certificate Number: 570103170439 NAIC CODE AGENCY CUSTOMER ID: 570000048582 LOC #: ADDITIONAL REMARKS SCHEDULE NAMED INSURED Bureau Veritas North America; Inc. Page _ of EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance 10WNS41200 10WNS41200 1OWNS41200 1OWNS41200 1OWNS41200 1OwNS41200 1OWNS41200 1OWNS41200 1OWNS41200 1OWNS41200 10WNS41200 10WNS41200 1OWBRS41201 1OWBRS41201 10WBRS41201 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/011/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 01/01/24-01/01/25 workers'Compensation/Employers Liability Trumbull Insurance AR,DC,IN,LA,NE,RI,UT Twin City Fire Insurance Company FL,ND,OH,WA,WY Hartford Insurance Company of the Midwest AK,ID Hartford Casualty Insurance Company MO,WV Nutmeg Insurance Company CT,IL Hartford Fire Insurance Company NH,OR,PA Hartford Accident and Indemnity Company AL,GA,KY,MI,MT,NY,TN,VT property & Casualty Ins Co of Hartford CA,CO,DE,ME, MN,MS,SC Hartford Insurance Company of Illinois TX Hartford insurance Company of the Southeast KS,MD Hartford Underwriters Insurance Company AZ,HI, NC,N7,SD,VA Sentinel insurance Company, Limited IA,NM,NV,OK Twin City Fire insurance Company WI Hartford Underwriters Insurance Company MA Hartford Fire insurance Company PR ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD O 2008 ACORD CORPORATION. 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