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Home My WebLink AboutCOI - CivicPlus, LLC - Expires 2024-05-17Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE °os/15/2023' 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: It the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. It 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 Willis Towers Watson Northeast, Inc. C/O 26 Century Blvd P.O. Box 305191 Nashville, TN 372305291 USA INSURED CiviePlue, LLC end its direct and indirect evbsidieriae 302 S. 4th Street Suite 500 Mo.hetten, Be 66502 Willis Towers Nataon Certificate Center 1-877-945-7378 renirr'. u„,. 1-888-467-2378 ) American Casualty Company of Reading Penns 20427 National Fire Insurance Company of Wartfer 20478 Continental Insurance Company 1 35289 COVERAGES CERTIFICATE NUMBER: W28971190 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. INSR AODL SUER POLICY EFF POUCY EXP LTR TYPE OF INSURANCE POUCYNUMBER MMDO+YYV MMND/YY LIMITS �( COMMERCIAL GENERAL LIABILITY I EACHOCCURRENCE $ 11000,000 CLAIMS -MADE 1K OCCUR REMI E10 Ea m e S 200,00 MED EXP IAn one arson) S 15,000 A PERSONAL$ ADV INJURY $ 1,000,000 1 7037146004 05/17/2023 05/17/20241 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X'. POLICY C JEC 7 LOC j PRODUCTS-COMP/OP AGO S 2,000,000 $ OTHER: I AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT Es acddenl S 1,000,000 BODILY INJURY(Perpereon) S X iANY AUTO S OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NONOWNED AUTOS ONLY AUTOS ONLY 7037146018 105/17/2023 05/17/2024 BODILY INJURY (Per acdtlent) $ PROPERTY DAMAGE Per accId tt $ S C UMBRELLA LIAS EXCESS UAB x OCCUR CLAIMS -WOE 7037145998 05/17/2023 05/17/2024 EACHOCCURRENCE $ 5,000,000 X( AGGREGATE $ 510001000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A IANYPROPRIETORIPARTNERIEXECUTIVE V❑ OFFICERIMEMBEREXCLUDED7 ,(Mandatory In NH) N!A 70371 d6035 05/17/2023 05/17/2024 X STATUT E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 II yes, describe antler DESCRIPTION OF OPERATIONS bebw EL. DISEASE- POLICY LIMIT $ 1, 000, 000 III DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltbnal Remarks Schedule, may be athwhad It more space Is requeed) [�C�GGMCsD MAY 2 2 20L3 GILROYCITYCLERK'S OFFICE City of Gilroy, its officers, Officials and employees Gilroy CA 95020 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 ACORD 25 (2016/03) 019AA•901A ACORD The ACORD name and logo are registered marks of ACORD OR 1D: 24142486 eASca: 2974895 rinhtc rnsnrurld_ 1962: 2