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HomeMy WebLinkAboutCOI - Robinson & Moretti, Inc. - Expires 2022-12-09>® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 12/08/2021 ,,.,...--,-, 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 CONTACT Nichole Fisher CISR NAME: James G Parker Insurance Associates ;l)gN!io Ext\: (559) 222-7722 J rffc. Nol: (559) 222-1724 License #0554959 E-MAIL nfisher@jgparker.com ADDRESS: PO Box3947 INSURER(S) AFFORDING COVERAGE NAIC# Fresno CA 93650 INSURER A: Crum & Forster Specialty Ins 44520 INSURED INSURER B: Oregon Mutual Ins Co 14907 Robinson & Moretti Inc INSURER c: Navigators Specialty Insurance Co 36056 7780 Holsclaw Rd INSURERD: INSURERE: GUroy CA 95020 INSURERF: COVERAGES CERTIFICATE NUMBER: 21-22 GL BA IM UM 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 0F 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 ,c, POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDNYYYl LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I CLAIMS-MADE l.81 OCCUR ~~~~~J(E~~~J~~encel $ 50,000 ---MED EXP (Any one person) $ Excluded A y GL0084921 12/09/2021 12/09/2022 PERSONAL & ADV INJURY $ 1,000,000 ---GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 R POLICY l.81 fife?,= □ LOG PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: Designated Const. $ 2,000,000 AUTOMOBILE LIABILITY <:;0!,lBINED SINGLE LIMIT $ 1,000,000 ---(Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ---OWNED -SCHEDULED B CM0923559 12/09/2021 12/09/2022 BODILY INJURY (Per accident) $ ---AUTOS ONLY ,__ AUTOS 2$ HIRED 2$ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE $ 3,000,000 .__ C X EXCESS LIAB CLAIMS-MADE SE21 EXC828009IC 12/09/2021 12/09/2022 AGGREGATE $ 3,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION I PER I I OTH-AND EMPLOYERS" LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? {Manc!atoi}' in NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ $1,000 Deductible $200,000 B Rented/Leased Equipment CM0923559 12/09/2021 12/09/2022 $1,000 Deductible Per Schedule Contractors Equipment DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its Officers, Officials, Representatives, Agents, Employees, and Volunteers are named as Additional Insured as per form CG2010 0413 attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy Public Works Dept ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 ~~~--I © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD