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Home My WebLink AboutCOI - FBD Vanguard Construction, Inc. - Expires: 2026-03-01ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 1/9/2026 License # 0L72977 (925) 482-1000 (925) 482-1001 19445 FBD Vanguard Construction, Inc. 550 Greenville Road Livermore, CA 94550 31127 10690 43460 A 2,000,000 X X 6952518 3/1/2025 3/1/2026 300,000 25,000 2,000,000 4,000,000 4,000,000 $10,000,000 cap Deductible 0 2,000,000A X X 4629120 3/1/2025 3/1/2026 5,000,000B 8018659196 3/1/2025 3/1/2026 5,000,000 10,000 A X 38240191 3/1/2025 3/1/2026 2,000,000 2,000,000 2,000,000 C Excess Liability 03117053 3/1/2025 Limit 10,000,000 D Excess Liability CX00AJQ25 3/1/2025 3/1/2026 Limit 10,000,000 Pollution / Professional Liability - Carrier: Navigators Specialty Insurance Co - Effective: 3/1/2025 to 3/1/2026 Policy Number: SF25ECP0A17QMIC Limit: $2,000,000 Deductible: $10,000 RE: FY26 CDBG Sidewalk and Curb Ramp Project No. 26-PW-303/ VC1859 The City of Gilroy, its officers, officials, employees, and volunteers are additional insureds as respects General Liability & Auto Liability as required by written contract or agreement with respect to work done by the insured on behalf of the certificate holder; General Liability & Auto Liability coverages are primary & non-contributory. Waiver of subrogation applies to General Liability, Auto Liability & Workers' Compensation as required by written contract or agreement. City of Gilroy Public Works Department 7351 Rosanna Street Gilroy, CA 95020 FBDVANG-01 DRECEK Legacy Risk & Insurance Services 1850 Mt. Diablo Blvd., Suite 400 Walnut Creek, CA 94596 certificates@legacyrisk.net National Union Fire Insurance Company of Pittsburgh, Pa Columbia Casualty Company Allied World National Assurance Company Aspen American Insurance Co X 3/1/2026 X X X X X X X Docusign Envelope ID: AA2FC35C-BE77-4FFC-9BFD-556CCC6AC273Docusign Envelope ID: F76C9789-0B4D-46D2-80CB-204AAC9EEB09 FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. Legacy Risk & Insurance Services FBDVANG-01 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance License # 0L72977 1 SEE P 1 FBD Vanguard Construction, Inc. 550 Greenville Road Livermore, CA 94550 SEE PAGE 1 DRECEK 1 Policy Endorsements *THE FOLLOWING ENDORSEMENTS APPLY ONLY AS INDICATED IN THE DESCRIPTION OF OPERATIONS AND WHEN REQUIRED BY WRITTEN CONTRACT* GENERAL LIABILITY: Additional Insured Ongoing Operations CG2010 12/19 Additional Insured Completed Operations CG2037 12/19 Primary/Non-Contributory CG2001 12/19 Waiver of Subrogation CG2453 12/19 Per Project General Aggregate 86681 9/04 Notice of Cancellation 108538 03/11 AUTO LIABILITY: Additional Insured 87950 10/05 Primary/Non-Contributory 74445 10/99 Waiver of Subrogation 62897 6/95 Physical Damamge Deductibles: Comprehensive $250 | Collision $250 WORKERS' COMPENSATION: Waiver of Subrogation WC040361 Notice of Cancellation WC990056 04/11 EXCESS LIABILITY: Follows form of underlying General Liability, Auto 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AA2FC35C-BE77-4FFC-9BFD-556CCC6AC273Docusign Envelope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ocusign Envelope ID: AA2FC35C-BE77-4FFC-9BFD-556CCC6AC273Docusign Envelope ID: F76C9789-0B4D-46D2-80CB-204AAC9EEB09 POLICY NUMBER:52518 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY COMMERCIAL GENERAL LIABILITY CG 24 53 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 24 53 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS Docusign Envelope ID: AA2FC35C-BE77-4FFC-9BFD-556CCC6AC273Docusign Envelope ID: F76C9789-0B4D-46D2-80CB-204AAC9EEB09 86681 (9/04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT This endorsement, effective 12:01 A.M. 03/01/2025 forms a part of Policy No. GL 6952518 issued to FBD Vanguard Construction, Inc. NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA AMENDMENT OF LIMITS OF INSURANCE (Per Project or Per Location Aggregate Limit) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM I.Your policy is amended to include either a Per Project General Aggregate Limit, a Per Location General Aggregate Limit or a Per Project and Per Location General Aggregate Limit. Please select only one of the following: [ x ] Per Project General Aggregate Limit [ ] Per Location General Aggregate Limit [ ] Per Project and Per Location General Aggregate Limit $2,000,000 $___________ $ IF NEITHER OF THESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID. IF MORE THAN ONE OF THE THESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID. II.SECTION III – LIMITS OF INSURANCE, is amended to include the following: 1.The Limits of Insurance and the rules below fix the most we will pay regardless of the number of: a.Insureds; b.Claims made or “suits” brought; or c.Persons or organizations making claims or bringing “suits”. 2.The General Aggregate Limit is the most we will pay for the sum of : a.Medical expenses under Coverage C; b.Damages under Coverage A, except damages because of “bodily injury” or “property damage” included in the products-completed operations hazard”; and c.Damages under Coverage B. 3.The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of “bodily injury” and “property damage” included in the “products- completed operations hazard”. 4.Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all “personal and advertising injury” sustained by any one person or organization. Docusign Envelope ID: AA2FC35C-BE77-4FFC-9BFD-556CCC6AC273Docusign Envelope ID: F76C9789-0B4D-46D2-80CB-204AAC9EEB09 86681 (9/04) 5.Subject to 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a.Damages under Coverage A; and b.Medical expenses under Coverage C because of all “bodily injury” and “property damage” arising out of any one “occurrence”. 6.Subject to 5. above, the Damage to Premises Rented To You Limit is the most we will pay under Coverage A because of “property damage” to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. 7.Subject to 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of “bodily injury” sustained by any one person. 8.Subject to 2., 4., 5., 6., and/or 7. above, the Per Project Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a.Damages under Coverage A; b.Damages under Coverage B; and c.Medical Expenses under Coverage C arising out of any single Project described above. 9. Subject to 2., 4., 5., 6., and/or 7. above, the Per Location Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a.Damages under Coverage A; b.Damages under Coverage B; and c.Medical expenses under Coverage C arising out of the any single Location described above. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. III.The Limits of Insurance shown in the Declarations are deleted in their entirety and replaced by the Limits of Insurance set forth below. General Aggregate Limit Each Occurrence Limit Products-Completed Operations Aggregate Limit Personal & Advertising Injury Limit Damage to Premises Rented to You Medical Expense Limit Per Project General Aggregate Limit, Per Location Limits of Insurance $ 10,000,000 $ 1,000,000 $ 2,000,000 $ 1,000,000 $ 1,000,000 $ 25,000 $ 2,000,000 General Aggregate Limit or Per Project and Per Location General Aggregate Limit Docusign Envelope ID: AA2FC35C-BE77-4FFC-9BFD-556CCC6AC273Docusign Envelope ID: F76C9789-0B4D-46D2-80CB-204AAC9EEB09 86681 (9/04) IV.SECTION V – DEFINITIONS, is amended to include the following: 23.“Location” means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way railroad. All other terms and conditions of this policy remain the same. Authorized Representative Docusign Envelope ID: AA2FC35C-BE77-4FFC-9BFD-556CCC6AC273Docusign Envelope ID: F76C9789-0B4D-46D2-80CB-204AAC9EEB09 35 6952518 FBD Vanguard Construction, Inc. Any Person or Organization whom you become obligated to include as an Additional Insured as a result of any contract or agreement you have entered into. 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