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HomeMy WebLinkAboutCOI - Aldridge Construction, Inc. - Expires 2022-03-31ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDOIYYYY) 3/24/2021 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, If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confer rights to the certificate holder in lieu the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. of the policy, certain policies may require an endorsement. A statement on of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 300 S. Riverside Plaza, Suite 1500 Chicago IL 60606 INSURED ALDRIDGE CONSTRUCTION, INC. 844 E. ROCKLAND ROAD LIBERTYVILLE, IL 60048 ALDRELE-01 NAME: Certificate Service Center IA/CE FAX N No. fit: 312-704-0100, No): 312-803-7443 E-MAILDSS: BSD.COIR.ChicagoCertsag.com INSURER(S) AFFORDING COVERAGE INSURER A : Zurich American Insurance Company INSURER B : American Guarantee and Liability Ins Co INSURER C : American Zurich Insurance Company INSURER D : INSURER E : NAIC # 16535 26247 40142 INSURER F : COVERAGES CERTIFICATE NUMBER:423866988 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN INSR ADDL,SUBR . LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER ISSUED TO THE INSURED CONTRACT OR OTHER THE POLICIES DESCRIBED REDUCED BY PAID CLAIMS. NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, UMITS POUCY EFF POLICY EXP (MM/DD/YYYY) (MMIDD/YYYY) A X , COMMERCIAL GENERAL LIABILITY GL0694223702 , 3/31/2021 3/31/2022 ' ' EACH OCCURRENCE $ 2.000.000 CLAIMS -MADE X L. '' OCCUR DAMAGE TO NTED PREMISES EaEoccurrencc} $1,000,000 X Contractual Liab MED EXP (Any one person) 1 $ 10,000 X 1 XCU PERSONAL & ADV INJURY 1 $ 2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: ' POLICY ; X ' PRO- X JECT LOC GENERAL AGGREGATE $ 4,000.000 PRODUCTS - COMP/OP AGG $ 4.000,000 OTHER: $ A AUTOMOBILEUABILITY X ANY AUTO BAP694308802 3/31/2021 3/31/2022 COMBINED SINGLE LIMIT LEa acddentl $ 5.000.000 $ BODILY INJURY (Per person) OWNED AUTOS ONLY , SCHEDULED !AUTOS BODILY INJURY (Per accident) $ HIRED • AUTOS ONLY f I NON -OWNED , AUTOS ONLY ~PROPERTY DAMAGE "(Per accident AUTO PD - COMP/COLL , $ $ $10,0001$10,000 I B X . UMBRELLA LIAB X OCCUR AUC636955402 3/31/2021 3/31/2022 EACH OCCURRENCE $5,000,000 EXCESS UAB 1 CLAIMS -MADE �� ` AGGREGATE $ 5,000,000 1 DED I I RETENTION$ $ A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory In NH) II yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A WC636955202 (WI) WC694308902 3/31/2021 3/31/2021 3/31/2022 3/31/2022 X 1 STATUTE 1 0TH ER r E.L. EACH ACCIDENT $ 1,000,000 $1,000,000 N , E.L. DISEASE - EA EMPLOYEE below - E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I1 more space Is required) CITY OF GILROY IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY AS REQUIRED BY WRITTEN CONTRACT. FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER. CERTIFICATE HOLDER CANCELLATION CITY OF GILROY ATTN: PUBLIC WORKS DEPT ROSANNA ST 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 1147/i ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2' of 3 9824