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Home My WebLink AboutCOI - Sanchez Concrete Construction, Inc. - Expires 2023-02-11-�..4) SANCH-4 /% CORO' 4......---- CERTIFICATE OF LIABILITY INSURANCE OP ID: J1 DATE (MtiUDDIYYVY) 09/26/2022 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 pollcy(les) 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 916-364-7380 Sierra Oak Insurance Services Lic# 0C97528 9700 Business Park Dr. Ste 105 Sacramento, CA 95827 Daniel E. Brock CONTACT Daniel Brock NAME: PHONE 916-364-7380 FAX 916-364-7381 (A/C, No, Ex0: (AIC, No): FRiss: kristina@einsurancespecialist.com INSURER(S) AFFORDING COVERAGE NAIC i INSURER A: Wesco Insurance Company 25011 INSURED Sanchez Concrete Construction, Inc 2747 Aiello Dr Unit A San Jose, CA 95111 INSURER B : Security National Insurance Co 19879 INSURER C : INSURER D: INSURER E : INSURER F : • • 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. INSR LTR TYPE OF INSURANCE ADDL INS!) SUBR WVD POLICY NUMBER POLICYEFF (MM!DDIYYYYI POLICY EXP (MMJDDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X WPP140685006 02/11/2022 02/11/2023 EACH OCCURRENCE $ 1,000,000 RENTED occurrence) PREMISES TO $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER X LIMIT APPLIES jE PER: PRODUCTS - COMP/OPAGG $ 2,000,000 Emp Ben. $ 1,000,000 AUTOMOBILE A LIABILITY ANY AUTO OWNED — SCHEDULED AUTOS Ep AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY accidenDAMAGE $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERTEXECUTIVE �FFICE�I�MM M EXCLUDED?1,000,000 1entlatory n ) If yes. describe under DESCRIPTION OF OPERATIONS below Y 1 N N / A SWC1405986 10/01/2022 10/01/2023 X PER STATUTE OTH- ER E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISPOSE - POLICY LIMIT 1000,000 $ ' DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its Officers, Officials, Representative Agents, Employees and Volunteers are named additional Insured for all' liability arising out of R EgR OWM9 the operations by or on behalf of the named insured if required by contract per attached endorsements. OCT — 5 2022 GILROY CITY CLERK'S OFFICE CERTIFICATE HOLDER CANCELLATION City of Gilroy Public Works Departments Engineering Division 7351 Rosanna Street IGilroy, CA 95020 CITYOGL 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) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD