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HomeMy WebLinkAboutKimley-Horn - Insurance Certificate (2018)Client #: 25320 KIMLHORN ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 3/25/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Greyling Ins. Brokerage /EPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 NAME: Jerry Noyola PHONE 770- 552 -4225 FAX A/C, No, Ext : A/C, No): 866 - 550 -4082 E -MAIL no oa re n ADDRESS: er ry• l y �g Il y g• com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins. Co. 19445 EACH OCCURRENCE INSURED Kimley -Horn and Associates, Inc. 421 Fayetteville Street, Suite 600 Raleigh, NC 27601 INSURER B : Aspen American Insurance Company 43460 INSURER C: Ne Hampshire Ins. Co. 23841 INSURER D: Lloyds or London 085202 INSURER E $1,000,000 INSURER F : GENERALAGGREGATE $2,000,000 COVERAGES CERTIFICATE NUMBER: 18 -19 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 CONTRACTOR 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 INSRL y VO POLICY NUMBER MM /DDY MM DDY EXP LIMITS • X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR Contractual Liab. I 5268169 I 4/01/2018 04/01/2019 EACH OCCURRENCE IREMISES (Ea RENTED ) _$1,000,000 $ 500,000 X GEN'L MED EXP (Any one person) $25,000 PERSONAL & ADV INJURY $1,000,000 _ AGGREGATE LIMIT APPLIES PER: POLICY JECT FX LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ • AUTOMOBILE Ix LIABILITY xANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY 4489663 D410112018 04/01/201 (CEO, a.ideDISINGLE LIMIT $1,000'000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY Per accidentDAMAGE $ B X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE CX005FT18 04/01/2018 04/01/2019 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED I X RETENTION $O $ C A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 015893685 (AOS) 015893686(CA) 039326820 (ME) 4/01/2018 4/01/2018 4/01/2018 04/01/201 04/01/201 04/01/201 X STATUTE ETH- E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional Liab P070831800 4/01/2018 04/01/2019 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: City of Gilroy On -Call Agreement; Bill Wiseman. The City of Gilroy, its officers, officials & employees are named as Additional Insureds with respects to General Liability where required by written contract. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 -6141 ACORD 25 (2016/03) 1 of 1 #S1019444/M1017400 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 14/ V • ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 9ki [ey&I