HomeMy WebLinkAboutErnie's Plumbing - Insurance CertificateA� CERTIFICATE OF LIABILITY INSURANCE DATE (M /201VVV)
09/20/2017
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 pollcy(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 Phone (510) 233 -2600 Fax (510) 235 -3522 CONTACT NEK INSURANCE, INC. NAME NEK INSURANCE, INC. PHONE FAX
PO BOX 809 (A/C, No Exp (510) 233 -2600 — I(AIC, NoZ _ (510) 235 -3522
E -MAIL
EL CERRITO CA 94530 ADDRESS _ __ _ - __ _
INSURER(S) AFFORDING COVERAGE NAIC #
Agency Llc# 0350715 INSURER A OAK RIVER INSURANCE CO
INSURED
ERNIE'S PLUMBING & REPAIR SERVICE, INC INSURER B
7411 RAILROAD STREET INSURER C
GILROY CA 95020
INSURER D
INSURER E
INSURER F
COVERAGES CFRTIFICATF NIIMRFR ASIAq RGVIC1r11I III 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
INSR
LTR
TYPE OF INSURANCE
ADD'L
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
_(MMIDD_�__(MM
POLICY EXP
/DD/YYYVj
LIMITS _
EACH OCCURRENCE Is
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
I DAMAGE TO RENTED $
PREMISES (Ea occurence)
EE
CLAIMS -MADE OCCUR
MED EXP (Anyone person) I $
PERSONAL & ADV INJURY Is
GENERAL AGGREGATE Is
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP /OP AGG I $
PRO -
POLICY n JECT n LOC
Is
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(E. dew)
ANY AUTO
_
BODILY
SCHEDULED
INJURY (Per person) $
ALL OWNED
AUTOS AUTOS
—_—
BODILY INJURY (Per accident)
$
HIRED AUTOS NON -OWNED
PROPERTY DAMAGE
I
$
AUTOS
(per accident)
UMBRELLA L11
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS -MADE
AGGREGATE $
DED I (RETENTION$
$
A
WORKERS COMPENSATION
ANn EMPLOYERS'
ERWC807201
09120/17
09/20/18
X TVORVTLIM TS OTH $
_
LIABILITY
ANY PROPRIETORIPARTNER /EXECUTIVE IV I N
OFFICERIMEMBER EXCLUDED?
-
__L _ _ _
E L EACH ACCIDENT $ 1,000,000
IManOatory in NH)
NIA
EL DISEASE -EA EMPLOYEE $ 1,000,000
I yes describe under
DESCRIPTION OF OPERATIONS below
-- - - - - - -- -- - - - - --
E L DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
CERTIFICATE IS PROVIDED AS PROOF OF INSURANCE WITH RESPECT TO COVERAGES, LIMITS AND EFFECTIVE DATES AS SHOWN
RE: ALL CALIFORNIA OPERATIONS.
CERTIFICATE HO
LDER CANCELLATION
CITY OF GILROY
7351 ROSANNA STREET
GILROY, CA 95020
Attention
25 (2010/05)
TL.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS
AUTHORIZED REPRESENTATIVE - - -
�-�•. ......� otter WV ate I V!JIb pr@O MarK5 OT AI,UKU
=00