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AcoRV CERTIFICATE OF LIABILITY INSURANCE
f�f
DATE (MM/DWYYYY)
06/28/2016
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(les) 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
VICR RAZARYAN
SUPPORT INSURANCE AGENCY
PHONE .818 -552 -5166 ANC 818 - 552 -5160
1129 E BROADWAY
A =S: VICROSUPPORTINSURANCB.COM
INSURER(S) AFFORDING COVERAGE
NAIC #
STE C
asuRERA:ESSEX INSURANCE COMPANY
39020
GLENDALE CA 91205 -4635
INSURED
INSURER s : ARCS INSURANCE GROUP
11150
BIOMEDICAL WASTE DISPOSAL, INC.
INSURER c:STATE FUND
35076
INSURER D
$ 1,000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PE LOC
OTHER:
11152 FLEETWOOD STREET #10
INSURER E:
PRODUCTS - COMPIOP AGG
INSURER F:
SUN VALLEY CA 91352
W041v:1:716 �e4:1:iiIdre7`1:111`III1,I_I _IaT /C -1�#1 ?17nr:;ri
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.
INTSRR
TYPE OF INSURANCE
L
POLICY NUMBER
E!F
EXP
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
X
X
3DY7103
04/09/17
04/09/18
EACH OCCURRENCE
$ 11000,000
1�
$ 100, 000
MED EXP one person
$ 5,000
PERSONAL BADVINJURY
$ 1,000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PE LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOS OVWED SCHEDULED
AUTOS
NON-OWNED
HIRED AUTOS AUTOS
X
FBCAT0321600
01/29/17
'01/29/18
a aoddent u
$ 11000,00
BODILY INJURY (Per person)
$
BODILY INJURY (Per aoddent)
$
PROPERTY DAMAGE
(per acci
$
ERRORS b OMIS
PRA
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
OED I I RETENTION $
$
C
ANDE�OYERs'L�n,ITY YIN
ANY PROPRIETOR/PARTNEIMECUTNE ❑NIA
OFFICER/MEMBER EXCLUDED?
(Mandatory 1n NH)
If yes, desafoe udder
DESCRIPTION OF.OPERATIONS below
9059294
06/01/17
06/01/18
sT T ER
E.L. EACH ACCIDENT
$ 1,.000,000
E.L. DISEASE - EA EMPLOYE
$ _ 11000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
POLLUTION /SPILLAGE COV
X
FBCAT0321600
01/29/17
01/29/18
Combined Single Limit 1,000,0
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addldonal Remarks Schedule, may be attaohed R more space Is squired)
MEDICAL WASTE DISPOSAL
CITY OF GILROY, ITS OFFICERS,
OFFICIALS AND EMPLOYEES
7351 ROSANNA STREET
GILROY, CA, 95020
VA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
111>C iKaff,CUya4.21
O 1988 -2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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