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ACOR" CERTIFICATE OF LIABILITY INSURANCE
�h�.
DATE (MMIDDIYYYY)
10/3012019
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 endorsement(s).
PRODUCER
Marsh USA Inc.
1717 Arch Street
CONTACT
NAME:
FAX
PHONE A/C No):
E-MAIL
ADDRESS:
Philadelphia, PA 19103-2797
Attn: philadelphia.certs@marsh.com or 212-948-0360
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Arch Specialty Insurance Company
21199
181805--GAW-19-20 N. CA NCA Land D NIA
INSURED K. Hovnanian Homes
INSURER B : General Securi Indemnity Company Of AZ
20559
INSURER C : Liberty Mutual Insurance Corporation
23043
Northern California, Inc.
INSURER D : The First Liberty Insurance Corporation
33588
1375 Exposition Blvd. Suite 102
Sacramento, CA 95815
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: CLE-006061657-28 REVISION NUMBER: 3
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTNTHSTANDING 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 OF INSURANCE
O L
R
POUCY NUMBER
MMIOD�Y
MMIDDNEXP
YYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
DPCIO44103-00 - PREM OPS
10/31/2019
10/31/2020
EACH OCCURRENCE
$ 5,000,000
A
CLAIMS -MADE Fx_1 OCCUR
SIR $250,000 PREM-OPS
UXP1032452-00 - EXCESS PREM OPS
10/31/2019
10/31/2020
DAMAGE TO RENTED
PREMISES Ea occurrence
$
X
MED EXP (Any one person)
$ NA
X I
SIR $3,000,000 COMP-OPS
PERSONAL & ADV INJURY
$ 5,000,000
B
GEN'L
AGGREGATE LIMIT APPLIES PER:
F147402-2019-1 - PRODICOMP OPS
10/31/2019
10/31/2020
GENERAL AGGREGATE
$ 5,000,000
POLICY PRO JECT LOC
X
PRODUCTS - COMPIOP AGG
$ 5,000,000
$
OTHER:
1
C
AUTOMOBILE LIABILITY
AS5-621-095402-029
10/31/2019
10131/2020
COMBINED SINGLE LIMIT
Ea accident
$ 2,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? �N
(Mandatory in NH)
N 1 A
WC6-621-095402-019 (AOS)
10 3 12 0
X PER I OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 2,000,000
E L. DISEASE - EA EMPLOYFF
3 2,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMI r
s 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
RE: PROJECT "DEER PARK, PH Ill, TRACT #9966, APN #783020-055 & 056, GILROY, CA
CITY OF GILROY IS INCLUDED AS ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED
PRIOR TO THE DATE OF LOSS.
C:tK 1 IP*IUA 1 t MULULK
CITY OF GILROY
ATTN: DANIEL HUGHES
7351 ROSANNA STREET
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.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukhedee _Twt.a.-.A.010" .VAAAJ-e�
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Ac<>R" CERTIFICATE OF LIABILITY INSURANCE
#%�.
DATE (MMIDDIYYYY)
10/30/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAYE 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 endorsement(s).
PRODUCER
Marsh USA Inc.
1717 Arch Street
CONTACT
NAME:
PHONE FAX
No :
E-MAIL
ADDRESS:
Philadelphia, PA 19103-2797
Attn: philadelphia.ceits@marsh.com or 212-948-0360
INSURERS AFFORDING COVERAGE
NAlC #
INSURER A. Arch Specialty Insurance Company
21199
181805--GAW-19-20 N. CA NCA Land D
INSURED
K. Hovnanian at Gilroy 60, LLC
1375 Exposition Blvd. Suite 102
INSURER B :General SecurityIndemnityCompany Of AZ
20559
INSURER C : N/A
N/A
INSURER D : The First Liberty Insurance Corporation
33588
Sacramento, CA 95815
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: CLE-006062333-15 REVISION NUMBER: 3
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
ADDL
SUBR
POLICY NUMBER
MM/DD�YY
LICY EXP
MMIDDIIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
DPC1044103-00 - PREM OPS
10131/2019
1013112020
EACH OCCURRENCE
$ 5,000,000
CLAIMS -MADE Fi] OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$
A
SIR $250,000 PREM-OPS
UXPI032452-00 - EXCESS PREM OPS
10/3112019
10/31/2020
X
MED EXP (Any one person)
$ NA
X
I SIR $3,000,000 COMP-OPS
PERSONAL & ADV INJURY
s 5,000,000
B
F147402-2019-1 - PRODICOMP OPS
10/31/2019
10/31/2020
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 5,000,000
PRODUCTS - COMP/OP AGG
$ 5,000,000
X
POLICY1:1 PRO- LOC
JECT
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED I RETENTION $
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? a
(Mandatory in NH)
N I A
WCH21-095402-019 (AOS)
10/31/2020
X STATUTE OTH
ER
E.L. EACH ACCIDENT
$ 2,000,000
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
E.L. DISEASE - POLICY LIMIT
$ 2,000,000
11 yes, describo under
DESCRIPTION OF OPERATIONS below
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re: Monterey Manor - Gilroy 60 - Job #13197 - As required per the Property Improvement Agreement
CERTIFICATE HOLDER CANCELLATION
City of Gilroy
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attn: Claudia Moran -Garcia
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
7351 Rosanna St
ACCORDANCE WITH THE POLICY PROVISIONS.
Gilroy, CA 95020
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi MUkherjeeot�rao.��.tt,-re.
9)1988-2016 ACORD CORPORATION. All rights reservea.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD