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Home My WebLink AboutCOI - Jensen Landscape Holdings, LLC - Expires 2024-05-01Page 1 of 2 CERTIFICATE OF LIABILITY INSURANCE Do<i25/2023Y' 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 Hghts to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Towers Watson Insurance services Nest, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA INSURED Jansen Landscape Holdings, LLC; Jansen Landscape Contractor, LI:O) Jenson Landscape Services, LLC; Jenssn Landscape A Construction Company, ILC 1250 Ames AV* Hilpltas, CA 95035 Willis Towers Watson Certificate Center ,,,. 1-877-945-7378 twr. Nm. 1-888-467-2378 Liberty Mutual $'ire Insurance Company, 23035 Starr Indemnity 6 Liability Company 38316 IN Insurance Corporation 33600 COVERAGES CERTIFICATE NUMBER- W28797937 RFVISION NtIMRFR- 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 OFINSUflANCE OO-L�s B POLICYNUMBER POLICY FF MMND POLICY P MM4) LIMITS X I COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACHOCCURRENCE 1 $ 1,000,000 PREMISES (Enig2curni S 1, 000, 000 MED EXP (Any one perionj $ 10,000 A y TB2661067138033 05/01/2023 05/01/2024 PERSONALS ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY EX PRO, [Z LOG GENERAL AGGREGATE S 2,000,000 ' j PRODUCTS-COMP/OP AGO S 2,000,000 $ OTHER' AUTOMOBILE LIABILITY _(Ea COMBINED SINGLE LIMIT accident, S 2, OOG, 000 BODILY INJURY (Per peter) S 4ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS AS2661067138023 05/01/2023 05/01/2024 BODILY INJURY IF, accident) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per enl $ $ j B 1, UMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE 1000585092231 05/01/2023 05/01/2024 EACH OCCURRENCE $ 5,000,000 X AGGREGATE g 510001000 DIED RETENTIONS S C WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANYICERIM MSEP ARTNERIEXECUTIVE V/ N NYPR PRIET RIPARTERVE No (Mandatory In NK) N/AI NA566DO67138013 05/01/2023 05/01/2024 X STATUTE 75 fl E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONSbebw E.L. DISEASE• POLICY LIMIT S 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be uUached II more space Is required) City of Gilroy RE: JLS will provide Landscape Maintenance Services to The City of Gilroy at their parks, sound walls, street medians 6 islands, City buildings, downtown areas and water facility sites. These routine servieea include plant 6 tree care, weed/pest control, litter/debris removal, irrigation maintenance and general maintenance such as seasonal leaf removal. City of Gilroy, its officers, officials and employees are included as Additional Insured in accordance with MAY 16 2023 City of Gilroy, its officers, officials I GILROY CU CLERK'S and employees 7351 Rosanna Street Gilrov, CA 95020 IULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN XJRDANCE WITH THE POLICY PROVISIONS. RIZED REPRESENTATIVE -- - IX ]I`� ® 1988-2016 ACORD CORPORATION. All riohts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sk Is: 24050867 sera): 2948906 2012 5314 AGENCY CUSTOMER ID: LOC #: Ac V ADDITIONAL REM � 10 ARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Insurance Services West, Inc. Jensen Landscape Holdings, LLC; Jenson Landscape Contractor, LLC; Jensen Landscape Services, LLC; Jensen Landscape 6 Construction Company, LLC POLICY NUMBER See page 1 1250 Amen Ave Milpitas, CA 95035 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance the policy provisions of the General Liability policy. ACORD 101 (2008/01) C 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:24050867 BATCH:2948906 CERT:W28797937