Loading...
HomeMy WebLinkAboutCOI - Evans & DeShazo, Inc. - Expires 2023-04-20EVANS-1 OP D: A ,4coR0 CERTIFICATE OF LIABILITY INSURANCE DATE 09/30/2022 30/2022 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 endorsements . PRODUCER 707-874-2666 Open Door Ins Services, Inc. P.O. Box 428 CONTACT Angela Gianni PHONE 707-874-2666 A/C, No, Ext : FAX 707-874-1233 A/C, No): E-MAa . ange a open oorms.com Occidental, CA 95465 Angela Gianni INSUREFUSI AFFORDING COVERAGE NAIC N INSURER A: Hartford Casualty Ins. Co. 29424 evansl DeShazo,Inc. Attn: Sally Evans 1141 Gravenstein HWy. S. Sebastopol, CA 95472 INSURER B: RLI Insurance Group 13056 INSURER C INSURER D INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 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 JIJIL TYPE OF INSURANCE ODL Ueft POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X 57SBABN5170 04/20/2022 04120/2023 EACH OCCURRENCE 21000,000 DAMAGE TO RENTED $ 1,000,000 MED EXP (My one erson 10,000 PERSONAL&ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [K PPS LOC OTHER GENERAL AGGREGATE 41000,000 PRODUCTS -COMPIOPAGG 41000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED OWNED SCHEDULED ONLY AUTOSSCHEDULED AUTOS ONLY X AUTOIONL PD 57SBABN5170 04/20/2022 04/2012023 COMBINED SINGLE LIMIT 11000,000 BODILY INJURY Parperson) $ IXX BODILY INJURY Per accident)$ (Perrac tlent AGE 50,000Hired Ded 500 UMBRELLA LAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y14 ANY PROPRIIETOERIPARTNER/EXECUTIVE ❑ (MFandatory In NHR EXCLUDED? If yes, tlescribe under DESCRIPTION OF OPERATIONS below NIA SPTERTUTE OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMIT B Professional Liab RTP0021935 08/0612021 08106/2023 EaOcc/Agg $2M/$2M DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Archeaeology & Historic Preservation Consultants The City of Gilroy, its Officers, Officials, and Employees are named as Additional Insured per the attached IH12001185. City of Gilroy, its officers, officals and employees 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE GILROY CITY CLERICS OFFICEITHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD zI- J