Loading...
HomeMy WebLinkAboutCOI - Carr Concrete - Expires 2023-05-01A`ct,22 �R"Q. CERTIFICATE OF LIABILITY INSURANCE DATE(M0/DD/YYYY) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh USA Inc. Six PPG Place Suite 300 Pittsburgh, PA 15222 Attn: pittsburgh.certrequest@marsh.com CN102144875--E&O-22-23 L.B. CONTACT NAME, (A/CC,NN , Ext): E FAX No): EMAIL a!_ RESS: E(��� 1 r ICl r7f . al(:f2: 3WM INSURER(S) AFFORDING COVERAGE NAIL # IN RER A: Evanston Insurance Company 35378 INSURED L. B. Foster Company CXT Incorporated; L. B. Foster Rail Technologies, Inc.; L.B. Foster Protective Coatings, Inc.; Salient Systems, Inc.; Carr Concrete, a division of CXT Incorporated MAY 2 3 2022 GILROY CITY CLERICS OFFICE IN RER B: N •, RER C : : RER D : INS RER E: 415 Holiday Drive ' Pittsburgh, PA 15220 INSURER F COVERAGES CERTIFICATE NUMBER: CLE-005539207-11 REVISION NUMBER: 10 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. LTRINSR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY POLICY EFF POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PRO JECT PER: LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N/A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Professional Liability - E&O Deductible: $1,000,000 MKLV7PL0005319 (Claims Made) 05/01/2022 05/01/2023 Per Claim Limit Aggregate Limit 1,000,000 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Service Agreement: Miller Restroom Replacement Evidence of Insurance. Deductible for the Professional Liability policy is $1,000,000. CERTIFICATE HOLDER CANCELLATION City of Gilroy, its officers, officials and employees 7351 Rosanna Street Gilroy, CA 95020 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 ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102144875 LOC #: Pittsburgh ACCORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Marsh USA Inc, NAMED INSURED L. B. Foster Company CXT Incorporated; L. B, Foster Rail Technologies, Inc.; L.B. Foster Protective Coatings, Inc.; Salient Systems, Inc.; Carr Concrete, a division of CXT Incorporated 415 Holiday Drive Pittsburgh, PA 15220 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE. Certificate of Liability Insurance Chemtec was aquired by L.B. Foster on 12/31/14 and is automatically included under this Professional Liability policy. This policy is only for Chemtec and L.B. Foster. ACORD 101 (2008/01) 0156.01-00-0000213.0002-0000628 © 2008 ACORD CORPORATION. All rights I The ACORD name and logo are registered marks of ACORD