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HomeMy WebLinkAboutCOI - Evans & DeShazo, Inc. - Expires 2024-04-20------ 4 EVANS-1 OP ID: AG DA04/24/2023TE Y) 04/24/2023 �A1`� CERTIFICATE OF LIABILITY INSURANCE 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 endorsements . PRODUCER 707-874-2666 Open Door Ins Services, Inc. P.O. Box 428 Occidental, CA 95465 Angela Gianni CONTACT Angela Gianni PHONE 707-874-2666 FAX 707-874-1233 ac. No. Eat : A/C, No): EMAIL ange a open oorms.com INSURERS AFFORDING COVERAGE NAIC i INSURER A: Hartford Casualty Ins. Co. 29424 SURE vans DeShazo, Inc. INSURERS INSURERC: Attn: Sally Evans 1141 Gravensteln Hwy. S. Sebastopol, CA 95472 INSURER D : INSURERS: INSURER F: COVERAGES CFRTIFICATF NIIMRFR- RFVISI0N 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. INSR TYPE OF INSURANCE DL USR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 57SBABN5170 04/2012023 04120/2024 EACH OCCURRENCE $ 2,000,00U DAMAGE TO RENTED (Ea occurrence) $ 1,000,00PREMISES MED EXP An one emon $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENL X AGGREGATE LIMIT APPLIES PER: POLICY spef LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,006 $ OTHER: A LIABILITY COMBINED SINGLE LIMIT $ 2,000,00Q BODILY INJURY Per person) ANY AUTO OWNED SCHEDULED AUTOS ONLY AUU�TTI.1OSWWNNEE 57SBABN5170 04120/2023 04/20/2024 PUTOMOBILE BOODILY INJURY Per accident $ PP ECERZt AMAGE S SQ,000 AIIfTOSONLY AUTO9ONIDY Hired PD Ded 500 UMBRELLA DAB OCCUR EACH OCCURRENCE AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINTUTET ANY PROPRIIETOER/PARTNERIEXECUNVE ❑ QdanIn EER/M NHR EXCLUDED? R yea, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- A ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) I ntI K�1.5� V �D RE: Archeaeology & Historic Preservation Consultants 1 nilg v� The City of Gilroy, its Officers, Officials, and Employees are named as Additional Insured per the attached IH12001185. MAY 16 2023 GILROY CRY CLERK'S OFFICE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Gilroy, Y its officers, officals and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. employees 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020� ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD W J C7 a LL H V X N o Z N ° O A w W � � o H C O Q W V C J x' 9L w z O � o 0 V cn m J H p H a a A d _ U) U) vi . � w � U O 'O r, � H i-1 Z H W •C Ln Q a a` = o V \ o cn E-� Z EllO � � Ln Z w W CO) H H M Q W tq N \ g O �+ r4 N ° O \ Z Z z ° rn o0 CN LLI H IX T.- O (U a G� CD CL ~ r4 0 H ° H ° O = N1 A E v E�-�cnu�ia H E-I M H d U H [� (� U.