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Home My WebLink AboutCOI - Geocon Consultants, Inc. - Expires 2027-01-01The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12/30/2025 Cavignac 451 A Street,Suite 1800 San Diego CA 92101 Certificate Department 619-744-0574 619-234-8601 certificates@cavignac.com National Fire Insurance CO.of Hartford 20478 GEOCINC-01 Pacific Insurance Company,Ltd 10046GeoconConsultants,Inc. 6960 Flanders Drive San Diego,CA 92121 Transportation Insurance Co.20494 Valley Forge Insurance Company 20508 480689981 A X 1,000,000 X 1,000,000 X Cross Liab.Inc.15,000 X Sev of Int Incl 1,000,000 2,000,000 X X X Y 6079910091 1/1/2026 1/1/2027 2,000,000 Deductible 0 C 1,000,000 X XX 6079910088 1/1/2026 1/1/2027 D W 8 35564444 1/1/2026 1/1/2027 X 1,000,000 1,000,000 1,000,000 B Professional Liability 13OH058188126 1/1/2026 1/1/2027 Each Claim/Aggregate $2M/$5M Re:Geocon Project #E9528-04-01 /Las Animas Veterans Park Pickleball Court.Additional Insured coverage applies to General Liability for the City of Gilroy and its officers and employees per policy form.Professional Liability -Claims made form,defense costs included within limit.If the insurance company elects to cancel or non-renew coverage for any reason other than nonpayment of premium they will provide 30 days notice of such cancellation or nonrenewal. Professional Liability Retroactive Date:11/1/1989. City of Gilroy 7351 Rosanna Street Gilroy CA 95020 Docusign Envelope ID: 04C29958-FE27-4260-AB98-0A29CBE855A6 &1$3$5$02817 Geocon Inc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RU!$ $ RIIHQVH $OORWKHUWHUPVDQGFRQGLWLRQVRIWKH3ROLF\UHPDLQXQFKDQJHG 7KLVHQGRUVHPHQWZKLFKIRUPVDSDUWRIDQGLVIRUDWWDFKPHQWWRWKH3ROLF\LVVXHGE\WKHGHVLJQDWHG,QVXUHUVWDNHVHIIHFW RQWKHHIIHFWLYHGDWHRIVDLG3ROLF\DWWKHKRXUVWDWHGLQVDLG3ROLF\XQOHVVDQRWKHUHIIHFWLYHGDWHLVVKRZQEHORZDQG H[SLUHVFRQFXUUHQWO\ZLWKVDLG3ROLF\ Docusign Envelope ID: 04C29958-FE27-4260-AB98-0A29CBE855A6 Policy No: © CNA All Rights Reserved. It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. NOTICE OF CANCELLATION TO CERTIFICATEHOLDERS :& Form No: CC68021A (02-2013) 1DPHG,QVXUHG*HRFRQ,QF Docusign Envelope ID: 04C29958-FE27-4260-AB98-0A29CBE855A6