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HomeMy WebLinkAboutCOI - Recology South Valley - Expires 2021-10-01,a► o� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10/2/2020 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Carlson Insurance Services 21650 Oxnard Street, Suite 1600 Woodland Hills, CA 91367 CONTBeecher NAME: Beecher Carlson Insurance Services PHONE 818-598-4200 FAX No): 770-870-3043 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # www.beechercarlson.com chercarlson INSURER A: ACE American Insurance Company 22667 RecINSSUREDURED heco Pass Highway South Valley 1351 Pacogyheco 351 Pac INSURER B : Indian Harbor Insurance Company 36940 INSURER c : XL Specialty Insurance Company 37885 INSURER D : Lloyd's of London Hiscox N/A Gilroy CA 95020 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: r,707AA7a I21=VIQIr1M AIIIU12=0 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 SUER POLICY NUMBER MPOY WDD EFF MPOLICY MIDD EXP LIMITS A ✓ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �/ OCCUR XSL G27630339 10/1/2020 10/1/2021 I EACH OCCURRENCE $1,500,000 DAMAGE T E TED PREMISES Ea occurrence S1,500,O00 ✓ SIR: $500,000 MED EXP (Any one person) $ 0 PERSONAL & ADV INJURY $1 500,000 ��EN'L AGGREGATE LIMIT APPLIES PER: PRO- ✓ POLICY JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 I PRODUCTS - COMP/OP AGG IS2,000,000 I $ A AUTOMOBILE LIABILITY ✓ ANY AUTO XSA H08873227 10/1/2020 10/1/2021 I LIMIT Ea accident) $1 500 000 BODILY INJURY (Per person) $ 1 OWNED AUTOS ONLY AUTOSULED FJBO HIRED NON -OWNED ONLY AUTOS ONLY $500K INJURY (Per accident) $ PROPERTYDAMAGEAUTOS Per accidentSIR: Auto Physical Damage $Self Insured B ✓ UMBRELLA LIAB EXCESS LIAR ✓ OCCUR CLAIMS -MADE RES5000612 10/1/2020 10/1/2021 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000 000 DED 1 RETENTIONS I $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECU I VE OFFICER/MEMBEREXCLUDED? a (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A RWE5000442-06 SIR: $2 000.000 10/1/2020 10/1/2021 I PER OTH- ✓ STATUTE ER E.L. EACH ACCIDENT S 2,000000 E.L. DISEASE - EA EMPLOYEE —- — — — — - E.L. DISEASE - POLICY LIMIT I _$ 2 000 O00_ _ $ 2,000,000 D Umbrella Liability PN2000870 10/1/2020 i 10/1/2021 Each Occurrence $5,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) If additional insured (ADDL INSR) and/or subrogation waived (SUBR WVD) boxes are checked, applicable blanket policy endorsements apply in favor of the DESIGNATED ENTITY where required by written contract, but only as respects liability arising out of work performed by or on behalf of the insured. DESIGNATED ENTITY: Certificate Holder CERTIFICATE HOLDER coNcl=1 I ATtnN City of Gilroy �TTN: nsurer Foodmaker, Inc.)) Phil Valenzulea - Disk Manager 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 Pam Brooskin U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 57976479 1 20-21 Liability I Robert Schwartz 1 10/2/2020 1:15:09 PM (PDT) I Pane 1 of 1 ACCP 6r CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/28/2018 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 Beecher Carlson Insurance Services 21650 Oxnard Street, Suite 1600 Woodland Hills, CA 91367 ACT NAAME: Beecher Carlson Insurance Services PHONE 818-598-420o FAX Noll: 770-870-3043 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # www.beechercarison.com INSURERA: ACE American Insurance Company 22667 INSURED Recology South Valley INSURER B : Ironshore Europe DAC NIA INSURERC: XL Specialty Insurance Company 37885 1351 Pacheco Pass Highway Gilroy CA 95020 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 44621716 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. I TR TYPE OF INSURANCE ADD UBR POLICY NUMBER POLICYEFF MMILIDD EXP YM LIMITS A ✓ COMMERCIAL GENERAL LIABILITY ✓ XSL G27629362 10/1/2018 10/1 /2019 EACH OCCURRENCE $1 500 000 DAMAGE TO RENTED PREMISES Me occurrence $1 500 000 CLAIMS -MADE OCCUR ✓ MED EXP (Any one person) $ SIR: $500,000 PERSONAL & ADV INJURY $1 500 000 GEN'L ✓ AGGREGATE LIMIT APPLIES PER: PRO-- LOC POLICY JECT GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2 000 000 $ OTHER: A AUTOMOBILE LIABILITY XSA H08868700 10/1/2018 10/1 /2019 Ea COMBINEDSINGLE LIMIT $1 500 000 ✓ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY I BODILY INJURY (Per accident) S PROPERTY DAMAGE Per acadent $ ✓ Auto Physical Damage $Self Insured SIR: 500K I I B ✓ UMBRELLA LIAB �/ OCCUR PN 1800870 10/1/2018 10/1 /2019 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5 000 000 EXCESS LIAR CLAIMS -MADE DEO I I RETENTION $ $ C WORKERS COMPENS AND ATION YIN ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED7 ❑N NIA RWE5000442-04 (includes WA Stop Gap) 10/1/2018 10/1 /2019 ✓ STATUTE ER - E.L. EACH ACCIDENT $ 2 Q00 000 E.L. DISEASE - EA EMPLOYE $2,000,000 (Mandatory in NH) y If DESCRIPTION OF OPERATIONS below I ISIR: $1 000 000 E.L. DISEASE - POLICY LIMIT s2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) If additional insured (ADDL INSR) and/or subrogation waived (SUBR WVD) boxes are checked, applicable blanket policy endorsements apply in favor of the DESIGNATED ENTITY where required by written contract, but only as respects liability arising out of work performed by or on behalf of the insured. DESIGNATED ENTITY: Certificate Holder '�' �r/119 Lr GLl-PI I Kin City of Gilroy Insurer Food I aker, Inc. TTN: Phil Vaenzulea - 6k Manager 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 (WDHLS) Pam Brooskin ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 44621716 1 18-19 Liability I (WDHLS) Robert Schwartz 1 9/28/2018 5:35:44 PM (PDT) I Page 1 of 1