HomeMy WebLinkAboutMyers & Sons Construction - Insurance CertificateRE0 CERTIFICATE OF LIABILITY INSURANCE
ACo
- -
5/23/2017 INIM ONYYY)
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
Uniondale - Alliant Ins Svc Inc
333 Earle Ovington Blvd Ste 700
Uniondale NY 11553
CNAME CT Laura Martino
P " °NE 516 -414 -8606 I FAX 877- 308 -1070
E Maa . Laura. Martino@alliant.com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Berkshire Hathaway Specialty Insura
22276
3/1/2017
INSURED STERCON -04
INSURER B :Travelers Property Casualty Co of A
25674
INSURER c :Travelers Indemnity Company
25658
Myers $ Sons Construction, L.P.
4600 Northgate Blvd., Suite 100
Sacramento, CA 95834
INSURER D: Berkley Assurance Company
39462
TO
REM SE
PS Ea occuErrence
INSURER E:
X
INSURER F:
$10,000
Cf11VFRAnFS CFRTIFICATF NLIMBER. 639499008 REVISION NUMRER-
-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
ADDL
INSO
SUBR
WVD-
_ POLICY NUMBER
POLICY EFF
MM/DD /YYYY)
POLICY EXP
(MM/DDIYYYYJ
LJMrrS
C
X
COMMERCIAL GENERAL LIABILITY
VTC2K- CO- 2E97127A- IND -17
3/1/2017
3/1/2018
EACH OCCURRENCE
$2,000,000
CLAIMS -MADE X OCCUR
TO
REM SE
PS Ea occuErrence
$300,000
X
MED EXP (Any one person)
$10,000
Contractual Liab
PERSONAL & ADV INJURY
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$4,000,000
POLICY a JEC LOC
PRODUCTS - COMP /OP AGG
$4,000,000
$
OTHER:
B
AUTOMOBILE LIABILITY
3/1/2017
31/2018
C MBI E
(Ea SINGLE L M
nt
$2,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
X HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
$
A
X
UMBRELLA LIAR
X
OCCUR
47 -XSF- 303345 -01
3/1/2017
3/1/2018
EACH OCCURRENCE
$25,000,000
AGGREGATE
$25,000,000
EXCESS IJAB
CLAIMS -MADE
DED X I RETENTION$ 10,000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTNE
OFFICER/MEMBER EXCLUDED? N
NIA
VTRJ- UB- 2E971268 -17 (Myers)
3/1/2017
311/2018
X PER OTH
STATUTE I I ER
E.L. EACH ACCIDENT
$2,000,000
E.L. DISEASE - EA EMPLOYE
.$21000,000
(Mandatory in NH)
.
If yes, describe under
DESCRIPTION OF-OPERATIC below.
E.L. DISEASE - .POLICY LIMIT
$2;000,000
D
'Pollution/Professional Liability
PCADB- 5002048 -0617
6/112017
6/1/2018
Each Claim $10,000,000 i
Each Aggregate $10,000,000
DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Bridge Preventative Maint Program. City of Gilroy is included as Additional Insured in accordance with the policy provisions of the
General Liability and Automobile Liability policies.
City of Gilroy
7351 Rosanna Street
Gilory CA 95020
ACORD 25 (2014/01)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE.
THE EXPIRATION DATE THEREOF, NOTICE' WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD
The ACORD name and logo are registered marks of ACORD
reserved.