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HomeMy WebLinkAboutEpic Painting - Insurance CertificateEPICS -2 OP ID: MUNT ACOA O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 03/19/2015 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). PRODUCER Phone: 916-784 -9793 Builders Advantage Insurance Fax: 916 -784 -9799 107 Main Street Roseville, CA 95678 Shannon Lee NAME: PHONE (A/C, No EMAIL ADDRESS: U14ACS2888 -00 08/03/2014 08/03/2015 INSURER (S) AFFORDING COVERAGE NAIC # INSURER A : US Specialty Insurance company $ 100,00 MED EXP (Any one person) INSURED Epic Services Inc. INSURER 8: National Liability and Fire 20052 dba Epic Painting 7565 Railroad Street INSURER C: GENERAL AGGREGATE INSURER D: �GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC Gilroy, CA 95020 INSURER E: $ INSURER F : AUTOMOBILE LIABILITY. - ANY AUTO ALLOWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS COVERAGES CERTIFICATE NUMBER: 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN POLICY NUMBER PM /DDY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X Joha 8sliuger U14ACS2888 -00 08/03/2014 08/03/2015 EACH OCCURRENCE $ 1,000,00 PREMISES (Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL& ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 �GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP /OP AGG $ 2,000,00 $ AUTOMOBILE LIABILITY. - ANY AUTO ALLOWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per acddent) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS'LIAB OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DED RETENTION $$ B WORKERS COMPENSATION AND EMPLOYERV LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICERIMEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A9WC584742 11/01/2014 11/01/2015 X I WCSTATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY.LIMIT $ 1,000,00. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Gilroy, its officers, and employees are named as additional insured under commercial general liability per attached endorsement. RE: Gilroy, CA CERTIFICATE HOLDER CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 Joha 8sliuger ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD EPICS -2 OP ID: MUNT '`"c °R °I CERTIFICATE OF LIABILITY INSURANCE `...�" DATE MM / ) 03/11/2015 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 con_ fer rights to the certificate holder in lieu of such endorsemen s . PRODUCER Phone: 916 -784 -9793 NAME: Builders Advantage Insurance Fax: 916 - 784 -9799 107 Main Street Roseville, CA 95678 Shannon Lee P "ANN, Ext; FAX No E -MAIL ADDRESS: 08103/2014 08/03/2015 EACH OCCURRENCE INSURERS) AFFORDING COVERAGE NAIC 0 INSURER A: US Specialty Insurance company MED EXP (Any one person) $ 5,00 INSURED Epic Services Inc. INSURER B: National Liability and Fire 20052 dba Epic Painting 7565 Railroad Street INSURER C: $ 2,000,00 INSURER D: PRODUCTS - COMP /OP AGG Gilroy, CA 95020 INSURER E: $ INSURER F: [_AVFRA[ZFS CFRTIFICATF NUMBER: 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 THE EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED IN POLICY. NUMBER MMNIDNYY MM/D EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx7 OCCUR X John Eslinger U14AC82888.00 _ 08103/2014 08/03/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 �GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC.. PRODUCTS - COMP /OP AGG $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED - SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS (E, SINGLE LIMIT Ea accident $ BODILY INJURY (Per person)- $ BODILYINJURY (Per accident) $ PROPERTY DAMAGE Per accident $. UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANVPROPRIETOR /PARTNER /EXECUTIVE❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe:. under DESCRIPTION OF OPERATIONS. below N/A A9WC884742 CANCEL 11/01/2014 0313012015 X WCSTATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1.,000,00 E.L. DISEASE- EA EMPLOYEE $ 1,000,00 E.L. DISEASE- POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Gilroy, its officers, and employees are named as additional insured under commercial general liability per attached endorsement. RE: Gilroy, CA CERTIFICATE HOLDER CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy 7351 Rosanna Street -- - -- - AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 John Eslinger ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD EPICS -2 OP ID: SL A ° CERTIFICATE OF LIABILITY INSURANCE D 12109 /20/4 Y) 12/09/2014 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). PRODUCER Phone: 916-784-9793 Builders Advantage Insurance Fax: 916 - 784 -9799 107 Main Street Roseville, CA 95678 Shannon Lee CONTACT NAME: PHONE FAX A/C No Ext : A/C No): E -MAIL ADDRESS: GENERAL LIABILITY INSURE S AFFORDING COVERAGE NAIC # INSURER A: US Specialty Insurance company EACH OCCURRENCE $ 1,000,00 INSURED Epic Services Inc. INSURER B: National Liability and Fire X dba Epic Painting 7565 Railroad Street INSURERC: 08/03/2014 INSURER D: DAMAGE REMISES Ea RENTED Gilroy, CA 95020 INSURER E: $ 5,00 PERSONAL & ADV INJURY INSURER F: COVERAGES CERTIFICATE NUMBER: RFVI -glnN NI IMRFR- 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. ILTR TYPE OF INSURANCE I UB POLICY NUMBER MM DDY/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � A I OCCUR X U14AC82888 -00 08/03/2014 08/03/2015 DAMAGE REMISES Ea RENTED $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,00 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA A9WC584742 11/01/2014 11/01/2015 X WC ST 0TH - T R IM ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 - - -- -- (Mandatory in NH) If yyes . describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule,. H.more space Is required) City of Gilroy, its officers, and employees are named as additional insured under commercial general liability per attached endorsement. RE: Gilroy, CA GtK 111- IGAI E 11-101-DER r_ANriFI I ATInkl ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 Sohn Eslinger ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD EPICS -2 OP ID: SL A� ®�® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDNYYY) 10/24/2014 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). PRODUCER Phone: 916 -784 -9793 NAME: Builders Advantage Insurance Fax: 916 - 784 -9799 107 Main Street Roseville, CA 95678 Shannon Lee PHONE FAX A/c No Ext : A/C No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: State COMP Ins Fund 35076 B INSURED Epic Services, Inc. dba: Epic Painting 8881 Muraoka Dr. Unit 4 INSURER 8: US Specialty Insurance company INSURER C 08/03/2014 08103/2015 PREMISES Ea occurrence Gilroy, CA 95020 INSURER D: $ 5,00 INSURER E: $ 11000,00 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INTRR TYPE OF INSURANCE ADDL POLICY NUMBER MM/DDY/YYYY MWDD/ YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR X U14AC82888 -00 08/03/2014 08103/2015 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 11000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per. accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA 9097907 -14 04/30/2014 11/01/2014 X WC STATU- OTH- TORY LIMITS 1 1 ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT — -- $ 1,000,00 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional. Remarks Schedule, If more space is required) City of Gilroy, its officers, and employees are named as additional insured under commercial general liability per attached endorsement. RE: 8383 Wren Avenue, Gilroy, CA CERTIFICATE HOLDER CANCF1 I ATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 Sobn Eslinger ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD EPICS -2 OP ID: MUNT �•�-�" CERTIFICATE OF LIABILITY INSURANCE DATE(MM 09/30//201201 YY) 4 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). - PRODUCER ' Phone: 916 -784 -9793 07 Maln Street Advantage Insurance Fax 916- 784 -9799 Roseville, CA 95678 Shannon Lee CONTACT ac °Nn c E ac Na E -MAIL ADDRESS: U14AC82988-00 08/03/2014 08/03/2015 INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: US Specialty Insurance company $ 100,00 MED EXP (Any one person) INSURED Epic Services, Inc. INSURER B.: State Comp Ins Fund 35076 dba: Epic Painting 8881 Muraoka Dr. Unit 4 INSURER C: GENERAL AGGREGATE INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: X _POLICY PRO- LOC Gilroy, CA 95020 [INSURER E : $ INSURER .F : AUTOMOBILE LIABILITY - ANY AUTO ALLOWNED '.SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS AUTOS COVERAGES CERTIFICATE NUMBER: 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN POLICY NUMBER MMM//DD EFF POLICY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 41 OCCUR X John Eslfnger U14AC82988-00 08/03/2014 08/03/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X _POLICY PRO- LOC PRODUCTS - COMP /OP AGG $ 2,000,00 $ AUTOMOBILE LIABILITY - ANY AUTO ALLOWNED '.SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS AUTOS - - - COMBINED SINGLE LIMIT. Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY, (Per accident) $ PROPER TY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVEY /N OFFICER/MEMBER EXCLUDED? r (Mandatory In NH) If yes, . describe: under DESCRIPTION. OF OPERATIONS below NI A J 9097904 -14 04/30/2014 04130/2015 X WC STATU- OTH- TORY LIMITS ER. E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEd $ 1,000,00 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,00 F� DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) City of Gilroy, its officers, and employees are named as additional insured under commercial general liability per attached endorsement. RE: 8383 Wren Avenue, Gilroy, CA CERTIFICATE HOLDER CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 John Eslfnger ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD