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Home My WebLink AboutCOI - C and B Landscape Inc - Expires 2023-12-15ACORO® i`/ CERTIFICATE OF LIABILITY INSURANCE GA E IMMNO 1 1027202E 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 colder ri hts to the certificate holder in lieu of such endorsements . PRODUCER CONTACT I T T T R I.PAICNNo E.I :888.333-0949 w/c xe : 5W-046A669 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURERUJ AFFORDING COVERAGE NAIL p INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 395-180-3 INSURER B: C AND B LANDSCAPE INC, CALIFORNIA LANDSCAPE INSURER C: PO BOX 2683 GILROY, CA 95021.2683 INSURER o: NSxflER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 43 REVISION NUMBER: 0 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 OL INSR SuB WM POLICY NUMBER LICYEFF POMMIOD/YEF MOUCYEY PNDYY LIMITS A X COMMERCIKGENERALLUBIBTY CLMM"ADE OOCCUR N N 9161831 12/152022 12/152023 EKH OCCURRENCE E1,000,000 DAMAGE TO RENTED MEO EXP Igry Inn, pmm�) S100,000 EXCLUDED X PERSONAL a ADV mdURY $1,000,000 'L /WORO TE DMIT APPLIES PER: POLICY ACT ❑LOG OTHER: OENERALAOOREOATE $2,000,0G0 PRODUCTS-COMPIOP IWO $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED UTAUTOSULEO HIREO AUTOS ONLY NON-0WNED AUTOS ONLY N N 9161831 12/15/2022 12/152023 COMBINE SINGLE UNIT $1,000,000 BODILY INAIRV IPer penen) BODILY INJURY IPer aaldn0 PROPERTY DAMAGE ,e n A X UMBRELLA LIAR EXCESS MA, X OCCUR CLmms-MADE N N 9161832 12/15/2022 12/152023 EACH OCCURRENCE $4,000,000 ADGREOATE $4,000,000 DED I I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Yin MY PROPRIETORIPARTNERIEXECUTIVE L OFFICERIMEMBER EXCLUDED? (M."'.' e, NU If ps, dnalbe unddr DESCRIPTION OF OPERATIONS W.. N I A PER STATUTE I OTM ER E.L. EACH ACCIDENT E.L DISEASE - EA EMPLOYEE EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, MMOwe ReMSMS SdhedUle, may M aftu wd it MNM VOM iS NquiMn JOB NAME: ROGER'S RESIDENCE AT 7690 SANTA THERESA OR. GILROY CALIFORNIA 95020 CERTIFICATE HOLDER CANCELLATION 395-180-3 430 CITY OF GILROY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 ROSANNA ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GILROY, CA 95020-6141 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE *44,VJ 6 1G )VV�/ O ISM-2015 ACORO CORPORATION. All rights reserved. ACORD 25 (2016)03) The ACORD name and logo are registered marks of ACORD G'31SCKEMMD NOV 0 7 2022 GILROY CITY CLERICS OFFICE