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HomeMy WebLinkAboutCOI - Evans & DeShazo, Inc. - Expires 2021-04-20A.COPFItY CERTIFICATE OF LIABILITY INSURANCE �� DATE(MMIDDIYWY) 07/21 /2020 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 707-874-2666 Open Door Ins Services, Inc. P.O. Box 428 Occidental, CA 95465 Fawn Nekton ACT Kirsten Edwards PHONE 707-874-2666 FAX 707-874-1233 (Arc, No, Ext):(A/C, No): Wass, kirsten@opendoorins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Hartford Casualty Ins. Co. 29424 JNSUans & RED DeShazo, Inc. Ev Attn: Sally Evans 1141 Gravenstein Hwy. S. Sebastopol, CA 95472 INSURER B:RLI Insurance Group 13056 INSURER C : INSURER D : 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. ILITR TYPE OF INSURANCE ADM_ INSD, SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYYY POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 57SBMBH7623 04/20/2020 04/20/2021 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR PREMISESO(Ea occurrDence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 4,000,088 PRODUCTS - COMP/OP AGG $ 4,000,000 $ A AUTOMOBILE - LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY ` - SCHEDULED AUTOS NON -OWNED AUTOS ONLY 57SBMBH7623 04/20/2020 04/20/2021 COMBINED SINGLE LIMIT (Ea accident) 2,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAS EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / NER N / A PER OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ g Profesional Liam. RTP0016413 08/06/2019 08/06/2021 Each Occ. Agg 2,000,000 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Archeaeology & Historic Preservation Consultants The City of Gilroy, its Officers, Officials, and Enployees are named as Additional Insureds per policy form SS00080405. ***This certificate supersedes the one issued 2/27/20*** CERTIFICATE HOLDER CANCELLATION City of Gilroy, its officers, officals and employees 7351 Rosanna Street Gilroy, CA 95020 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 1 ;sH�? ✓�JCJc1� ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD