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HomeMy WebLinkAboutCOI - Recology South Valley - Expires 2023-10-01CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNYYY) 10/3/2022 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Beecher Carlson Insurance Services 21650 Oxnard Street, Suite 1600 Woodland Hills, CA 91367 CONTACT Beecher Carlson Insurance Services PHONE 404460_1400 aC Ne: 770-870-3043 -MA EIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL# wermbeechercarlson.com INSURERA: ACE American Insurance Company 22667 INSURED South Valley Rec1351 Pacogyheco 1351 Pacheco Pass Highway INSURER B: Indian Harbor Insurance Company 36940 INSURER c: XL S ecialt Insurance Company 37885 Gilroy CA 95020 INSURERD: Lloyd's ofLondon Hiscox N/A INSURER E : INSURER F : COVE wGES CERTIFICATE NUMBER: 70670340 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. ILTR TYPE OF INSURANCE ADDL'ISUBR IN POLICY NUMBER POLICYEFF POLICYEXP MMIDD/YYVV MMIDD LIMITS A `/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR SIR: $500 000 �/ ✓ XSL G27631460 10/1/2022 10/1/2023 EACHOCCURRENCE $1500000 ID PREM SES Ea occu enoe s1,500,000 ✓ MED EXP (Any one person) $0 PERSONAL S ADV INJURY $1 500 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY✓ � PRO-JECT ❑ ECT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG s2000000 $ OTHER OTHER: A BRELLA C D AUTOMOBILE LIABILITY EDANYAUO ED SCHEDULED S ONLY AUTOS D NON -OWNED jAUTOSONLY AUTOS ONLY : $500,00Auto LIAR / OCCUR S LIAB CLAIMS -MADE NIA ISA H08869558 RES5000612-02 RWE5000442-08 SIR: $2 000 000 PN2200870 10/1/2022 1011/'2 10/1/2022 10/1/2023 10/1/2022 10/1/2023 10/1/2022 10/1/2023 E BINEDtSINGLE LIMIT $2000000 �j BODILY INJURY(Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Ph sical Dama e EACH OCCURRENCE $Self Insured s3000000 AGGREGATE $3000000 RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOOFFCERIMEM ERPEXCLUDED ECUTIVE LN] (Mandatory in NH) "yes, describe antler DESCRIPTION OF OPERATIONS below Umbrella Liability P ✓ISTATUTEER EROTH- $ E.L. EACH ACCIDENT $2000000 E.L. DISEASE -EA EMPLOYEE $ 2.OQ0 000 E.L. DISEASE. POLICY LIMIT Each Occurrence $2 000 000 $5,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If additional insured (ADDL INSR) and/or subrogation waived (SUER VWD) boxes are checked, applicable blanket policy endorsements apply in favor of the DESIGNATED ENTITY where required by written contract, but only as respects liability arising out of work performed by or on behalf of the insured. Additional Conditions) as required by written contract: Primary/Non-Contributory status (GL); Policy provisions include 30 days notice of cancellation (10 days ffor non-payment of premium) to first named insured. Copies of said notices will be provided to certificate holder. DESIGNATED ENTITY: City of Gilroy and its public officials, officers, employees and agents CERTIFICATE HOLDER asiD CANCELLATION City of Gilroy O C T 17 2022 7351 Rosanna Street Gilroy CA 95020 GILROY CRY CLERK'S OFFICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. n nn AUTHORIZED REPRESENTATIVE ✓�. Caf%iP/G� .7rrnuxarue 3aruiceet n Beecher Carlson Insurance Services, LLC ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 70670340 1 22-23 Liability I RObert Schwartz 110/3/2022 10:13:06 PH (PET) I Page 1 of 1