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Home My WebLink AboutCOI - ACCO Engineered Systems, Inc. - Expires 2023-10-01ao .4C- � CERTIFICATE OF LIABILITY INSURANCE DATEU(9 6'D�l2YYY) 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 AOn Risk Insurance Services West, Inc. LOS Angeles CA Office 707 wilshi re Boulevard Suite 2600 Los Angeles CA 90017-0460 USA CONTACT PHON: X (800) 363-0105 (A/C.NNo. Ext): (866) 283-7122 (AA/C No.): E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURED ACCO Engineered Systems, Inc. 888 East Walnut Street Pasadena CA 91101 USA INSURER A: LM Insurance Corporation 33600 INSURER B: American Fire & Casualty Co 24066 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570095320131 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADOL INSD SUBFf WVD POLICY NUMBER POLICY EFF (MM/DD/VVVY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY OCCUR EACH OCCURRENCE CLAIMS -MADE DAMAGE TO REN rED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GEN'LAGGREGATE LIMIT APPLIES POLICY PRO-LOC JECT OTHER: PER: 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) B X UMBRELLALIAB EXCESSLIAB X OCCUR CLAIMS -MADE EUA2363708502 10/01/2022 10/01/2023 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICERNEMBER EXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS Y / N N / A WA566o067353012 10/01/2022 10/01/2023 x PER STATUTE OTH- ER E.L. EACH ACCIDENT 51,000,000 N E.L. DISEASE -EA EMPLOYEE 51, 000, 000 below E.L. DISEASE -POLICY LIMIT 51,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD in Additional Remarks Schedule, may be attached if more space Is required) [Re: operations of the Named Insured] CERTIFICATE HOLDER CANCELLATION CITY OF GILROY 7351 ROSANNA GILROY CA 95020 USA RE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Holder Identifier : 570095320131 Certificate No AUTHORIZED REPRESENTATIVE a 2 8 COEIT E OCT -7 2022 GILROY CITY CLERK'S OFFICE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD