Loading...
HomeMy WebLinkAboutCOI - Kovatch Mobile Equipment Corp. - Expires 2023-07-01INSR LTR A ACOROQ 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 Brown & Brown Inc. CERTIFICATE OF LIABILITY INSURANCE 1200 North Mayfair Road, Suite 100 Milwaukee, WI 53226 INSURED Kovatch Mobile Equipment Corp. One Industrial Complex Nesquehoning, PA 18240 COVERAGES 1-414-443-0000 CONTACT NAME: PHONE A/C. No. Extl: -MAIL ADDRESS: FAX (A/C, No): INSURER(S) AFFORDING COVERAGE INSURER A: GREAT AMER E&S INS CO INSURER B : TRAVELERS IND CO OF CT INSURER C : AXIS SURPLUS INS CO INSURER D : TRAVELERS PROP CAS CO OF AMER INSURER E : Mercer Insurance Company INSURER F : CERTIFICATE NUMBER: 66064833 REVISION NUMBER: DATE (MM/DD/YYYY) 07/01/2022 NAIC # 37532 25682 26620 25674 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. TYPE OF INSURANCE ADDL:SUBRI POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER (MM/DD/YYYYI (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY 'PL 3403401-02 07/01/22 07/01/23 CLAIMS -MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X PRO POLICY LOC JECT OTHER: B AUTOMOBILE LIABILITY X ANY AUTO OWNED ' AUTOS ONLY ' HIRED AUTOS ONLY C X UMBRELLA LIAB EXCESS LIAB D D E SCHEDULED AUTOS NON -OWNED AUTOS ONLY X OCCUR CLAIMS -MADE DED RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N/A EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE S S S PRODUCTS - COMP/OP AGG S S HC2ECAP-2G402548—TCT-22 07/01/22 07/01/23 COMBINED SINGLE LIMIT S (Ea accident) BODILY INJURY (Per person) , S BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) P-001-000123735-04 07/01/22 07/01/23 EACH OCCURRENCE UB5T44808A22NCR AZ,WI 07/01/22 07/01/23 UB5T45129222NCT AOS 07/01/22 07/01/23 Excess Liability 2 20000000174 07/01/22 07/01/23 AGGREGATE S S S x PER OTH- STATUTE ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE' S E.L. DISEASE - POLICY LIMIT S Limit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HC)I PER City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 RE©[ RAD JUL 1 1 2022 GILROY CITY CLERICS OFFICE CANCELLATION 1,000,000 300,000 1,000,000 4,000,000 4,000,000 2,000,000 3,000,000 3,000,000 1,000,000 1,000,000 1,000,000 2,000,000 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) abbythiermann ccnceoll USA © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc. 160 West Santa Clara Street Suite 300 San Jose, CA 95113 7515 2 MB 0.482 7515 'IIIIIII'II'I'I'I I'IIIIII'II'IIII II"IMiiI iII'IIIIIIIIII IIIIII I THE CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020-6141 We are providing you with a Certificate of Insurance confirming our client's coverage. Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance for our client? Please contact us at COI.UpdateMyEmail@AJG.com and provide the following information for processing: 1. Confirmation that a certificate of insurance is no longer required; or 2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery 3. Insured Code found in the Insured section on the enclosed certificate. An example of this code is XXXXXX-01 4. This Certificate Number: 1340352844 To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at www.ajcl.com/us/about-us/how-we-work/core-360. Gallagher does not share your e-mail as detailed in our privacy policy found at httos://www.aig.com/us/privacy-policy/. 1`of6 7515