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HomeMy WebLinkAboutCOI - Kimley-Horn and Associates, Inc. - Expires 2021-04-01Clionffi- 2532111 KIMLHORN ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD1YYYY}3/28/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Grayling Ins. Brokerage/EPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 NAME C Jerry Noyola aCN ; Ext : 770-552-4225 ac No): 866-550-4082 E-MAIL er no re Iln ADDRESS: J rY• Yola @9 Y g•com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins. Co. 19445 INSURED Kimley-Horn and Associates, Inc. 421 Fayetteville Street, Suite 600 Raleigh, NC 27601 INSURER B : Aspen American Insurance Company 43460 New Ham INSURER C : shire Ins. Co. p 23841 INSURER D : Lloyds of London 85202 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 20-21 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 CONTRACTOR 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Contractual Liab 5268169 0410112020 04/0112021 EACH OCCURRENCE S 1,000,900 �REMIG ES Ea occurrence S S 500 000 , X, GEN'L MED EXP (Any one personl 525,000 _ $1,000,000 PERSONAL & ADV INJURY AGGREGATE LIMIT APPLIES PER: POLICY a JECT FX LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG S 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 4489663 4101/2020 04/01/2021 EaacccdentSINGLE LIMIT 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) ccident $ B X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE CXOOSFT20 4/01 /2020 04/01/2021 EACH OCCURRENCE $5 000 000 AGGREGATE $S 000 000 DED I X RETENTION $O $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 015893685 (AOS) 015893686 (CA) 4101 /2020 4101/2020 04/01/2021 04/01/2021 X PE T T OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEEI $1 00O 000 E.L. DISEASE- POLICY LIMIT $1 000 000 D Professional Liab B0146LDUSA2004949 4/01/2020 04/01/2021 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: City of Gilroy On -Call Agreement; Bill Wiseman. The City of Gilroy, its officers, officials & employees are named as Additional Insureds with respects to General Liability where required by written contract. CERTIFICATE HOLDER CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020-6141 AUTHORIZED REPRESENTATIVE Aaw/ v 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2096550/M2095031 JNOY1