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HomeMy WebLinkAboutCOI - Pacific West Builders, Inc. - Expires 2022-03-01A�� o® CERTIFICATE OF LIABILITY INSURANCE /Y DATE (MMIDDYYY) 02/25/2021 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(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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Service Team NAME: AIMS Insurance Program Managers, Inc. AICNIU Ext : (602) 635-4848 FAX No : (480) 991-0634 E-MAIL serviceteam@aimsinsurance.com ADDRESS: 6900 E Camelback Road INSURER(S) AFFORDING COVERAGE NAIC 0 Suite 800 INSURERA : Tokio Marine Specialty Ins Co 23850 Scottsdale AZ 85251 INSURED INSURER B : National Union Fire Insurance Company of Pittsburg 019445 Pacific West Builders, Inc. INSURER c : ACE American Insurance Company 22667 INSURER D : 430 E. State Street INSURER E: Suite 100 INSURER F : Eagle ID 83616 COVERAGES CERTIFICATE NUMBER: Non-CCIP 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 LTR TYPE OF INSURANCE ADDLISUER INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 �/ CLAIMS -MADE OCCUR A PREMISES Ea occurrence s 100,000 MED EXP (Any one person) s excluded PERSONAL & ADV INJURY s 1,000.000 A Y PPK2239767 03/01/2021 03/01/2022 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a PRO- JECT LOC PRODUCTS 5 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident s 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS PPK2239767 03/01/2021 03/01/2022 BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY /� AUTOS ONLY S X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 9,000,000 AGGREGATE s 9,000,000 B EXCESS LIAB CLAIMS -MADE EBU016826224 03/01/2021 03/01/2022 DIED RETENTION $ S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA NWCC67800369 03/01/2021 03/01/2022 X1 STA UTE ERH E.L. EACH ACCIDENT s 1,000.000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 If yes, describe under DFSCRIPTION OF ODFRAT!ONS below E L. DISr.4SE POL!CY !.IM!T s 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This certificate is only a representation of coverage afforded by the insurance companies noted on it. Terms of coverage are defined in the policies[ies] shown and those terms may or may not comply with the requirements of any contract entered into by the named insured. City of Gilroy is afforded additional insured status only per CIS 2010 (04/13) with respects to general liability for this insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD