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HomeMy WebLinkAboutCOI - Geo M Robinson & Co. - Expires 2023-06-01GEOMROB-01 TTAGANAP ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 5/25/2022 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 License # OC36861 ~2~i~cT Laurie Phirippidis ----Alliant Insurance Services, Inc. Fil"!8,NJo,Ext): (415) 403-1449 i Fft~, No):(415) 874-4818 560 Mission St 6th Fl San Francisco, CA 94105 ii:%A~~ss: lphirippidis@alliant.com . - INSURER(S) AFFORDING COVERAGE NAIC# --INSURER A ,Gemini Insurance Company 10833 INSURED : INSURER B: Travelers Property Casualty Company of America 25674 Geo M Robinson & Co i 1NsURERc :Allied World Assurance Com~any_JU.S.l Inc 19489 1461 Atteberry Lane l 1NsuRERD :Allied World National Assurance Comp11_ny __ 10690 San Jose, CA 95131 I INSURERE: -- : INSURERF: COVERAGES CERTIFICATE NUMBER· 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 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. 1~lf TYPE OF INSURANCE A X ; COMMERCIAL GENERAL LIABILITY CD CLAIMS-MADE [K] OCCUR ~--------- GEN'L AGGREGATE LIMIT APPLIES PER: I --i POLICY [K] ~[8f DLoc , OTHER: B AUTOMOBILE LIABILITY -- X ANY AUTO ~ OWNED SCHEDULED ~ AUTOS ONLY ~ AUTOS X ~lfT'Ws ONLY X • NON-OV/'iNED ~ Fl AUTOS NLY C X UMBRELLA LIAB ~ OCCUR I ' ' ADDL SUBR INSD WVD i I I I I ' L EXCESS LIAB I CLAIMS-MADE ~ED XI RETENTION$ 10,000, ' 8 i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE QFFICER/MEMBER EXCLUDED? · (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below D Prof/Poll 15K Deduct ! YIN 1 CR] N/Ai I I I i I POLICY NUMBER VOGP003093 DT8100N81983A 03075721 UB5K566988222SG I I I :0312-3536 1 POLICY EFF POLICY EXP I IMM/DDIYYYYI , IMM/DD/YYYYI 6/1/2022 i 6/1/2023 I I I I i i 6/1/2022 6/1/2023 I I I 6/1/2022 i 6/1/2023 I ! 6/1/2022 6/1/2023 LIMITS EACH OCCURRENCE $ 1,000,000 ~~~b~H9E~~~J~?ence\ $ 50,000 MED EXP (Anv one person\ $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP A_GG J_ _____ 2_,o_o_o_,o_o_o $ COMBINED SINGLE LIMIT _L __ 1,000,000 (Ea accident) --------------- BODILY INJURY (Per Person)_ 1 ______ - BODILY INJURY /Per accident\ I ROPERT\~AMAGE Per accldenl EACH OCCURRENCE AGGREGATE XI ~ft-UTE I E.L. EACH ACCIDENT OTH-ER $ $ $ $ .L ,I; E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ 10,000,000 10,000,000 -------------- 1,000,000 1,000,000 1,000,000 6/1/2022 6/1/2023 Limit/Mold Cov lnc'I 5,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Building Dept. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna St. Gilroy, CA 95020-0000 AUTHORIZED REPRESENTATIVE I L ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD