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HomeMy WebLinkAboutCOI - Quam Construction Co. Inc - Expires 2024-02-01A`" om CERTIFICATE OF LIABILITY INSURANCE DATE(MM ODrYYYY) 02/01/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE 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 terns 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 NAME: NTACT Katie Hedican or Billy Fabozzi Brown & Brown, Inc. PHONE (fii2) 333-3323 F AIC Ne San, AIC No: 80 South 8th Street nooeLSS: Kalie.Hedican@bbrown.com Suite 700 INSURER(S) AFFORDING COVERAGE -NAIC# Minneapolis MN 56402 INSURERA: The Travelers Indemnity Company of Connecticut 25682 INSURED INSURERS: Travelers Properly Casualty Company ofAmerica 25674 Quam Construction Co. Inc dba Quam INSURERC: Indian Harbor Insurance Company 7400 Metro Blvd INSURER O: Suite 309 INSURER E : Edina MN 55439 INSURER F: COVERAGES CERTIFICATE NUMBER: 23-24 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 ADDIL INSO SUBIR INVD POLICYNUMBER POLICYEFF MMIDOAYYYY) POUCYEXP (MMMDNYYYJ LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2.000.000 CLAIMS -MADE © OCCUR PREMISES Ea ocapenm $ 300,000 MED EXP (Any one person) $ 6,000 PERSONAL& ADV INJURY $ 2,000,000 A Y C09RO51175 02/01/2023 02/01/2024 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000.000 POLICY PRO- JECT LOC PRODUCTS - COMWOP AGO $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS 8109PBB2773 02/01/2023 02/01/2024 BODILY INJURY (Per accident) S HIRED NOWOWNED - PROPERTY DAMAGE Per accident $ AUTOS ONLY AUTOS ONLY $ X UMBRELLA LIAR X 10,000,000 OCCUR EACH OCCURRENCE S B EXCESS LIAR CLAIMS -MADE CUP9RO55623 02/01/2023 02/01/2024 AGGREGATE S 10,000,000 DEO X RETENTION S 10,000 S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y X GTATUTE ER E.L. EACHACCIDENT $ 1.000,000 B My PROPRIETOR,PARTNERIEXECUTNE O RIM OFFICEEMBER EXCLUDED] NIA UB9R053598 02/01/2023 02/01/2024 E.L. DISEASE -EA EMPLOYEE $ 1.000,000 (Mandatory In NH) If yes. desalbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 1.000,000 Each Claim $110001000 Pollution Liability C PECO056053 02/01/2023 02/01/2024 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remark. Schetlulo, may be aNaphed if more space is required) the City of Gilroy, It's Officers, Officials, Representatives, Agents, Employees, and volunteers are additional insured as respects general liability policy where required by written contract, subject to the policy terms and conditions. -- — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Gilroy FEB - 9 2023 ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street GILROY CITY CLERK'S OFFICE AUTHORIZED REPRESENTATIVE Gilroy CA 95020 /�w✓ @ 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD