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HomeMy WebLinkAboutCOI - Pro-Pipe Inc. - Expires 2023-08-01Client#: 1982221 NATIOUNDI ACORDS. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/29/2022 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Insurance Services, LLC-CL 2400 East Commercial Blvd. Suite 600 Fort Lauderdale, FL 33308 CONTACT Jennifer Warrington PHONE 954 607-4000 1 FAX (A/C, No, Ext): (NC, No): E-MAIL ennifer.warrin ton usi.com ADDRESS: g INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Steadfast Insurance Company 26387 INSURED Pro -Pipe Inc. 47 Discovery #250 Irvine, CA 92618 INSURER B : American Guarantee Insurance Company 35521 _ INSURER C : Zurich American Insurance Company 16535 INSURER D: Travelers Casualty & Surety Co. of Amer 31194 INSURER E INSURER F : 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. INSRI LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYYJ_JMM/DD/YYYYY 08/01/2022 POLICY EXP 08/01/2023 LIMITS A X COMMERCIAL GENERAL LIABILITY X X Q2055400202 EACH OCCURRENCE s2,000,000 CLAIMS -MADE X I OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 X Pollution MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: - PRO 17 GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG $4,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY ' X AUTOS ONLY ' X SCHEDULED AUTOS NON -OWNED X X BAP2055400102 08/01/2022 03/0 1/2023 (Ea\accident)VINGLE LIMIT $2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Q2055400002 08/01/2022 08/01/2023 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED I I RETENT ON $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEI OFFICER/MEMBER EXCLUDED? r ^' I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X WC293704903 08/01/2022 08/01/2023 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT $1,000,000 A D Professional Liab Inland Marine Q2055400202 QT6306T179634TIL 08/01/2022 08/01/2022 08/01/2023 08/01/2023 2,000,000 each 2,000,000 agg Scheduled/Rented/Leased DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Branch #64. The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to The City of Gilroy. its officers, agents, employees and volunteers, only when there is a written contract that requires such status, and only with regard to work performed by or on behalf of the named insured. CERTIFICATE HOLDER City of Gilroy Engineering Division 7351 Rosanna Street Gilroy, CA 95020 RE Cr n\ 7r r) AUG 0 4 2022 GILROY CITY CLERK'S OFFICE CANCELLATION 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) 1 of 1 #S36881573/M36880182 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DGSZP