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ACORO CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDONYYY)
10/29/2021
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(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 CA LIC OB29370 1-925-244-7700
Edgewood Partners Insurance Centers (EPIC)
(San Ramon - Branch ID 143941
P. 0. Box 5003
CONTACT
NAME: Certificates Department
PHONE 925.244.7700 FAX 925.901.0671
Alc No:
ADDRESS: EPICcertaftpicbrokers.com
INSURERS AFFORDING COVERAGE
NAIC 0
INSURER A: ZURICH AMER INS CO
16535
San Ramon, CA 94583
INSURED
H.A. Bowen Electric, Inc.
INSURER B :
INSURER C :
INSURERD:
2055 Williams Street
INSURER E
INSURERF:
San Leandro, CA 94577
COVERAGES CERTIFICATE NUMBER: 63677095 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
ADDLSUSR
POLICY NUMBER
POLICY EFF
(MM(DD1YYYY1
POLICY EXP
IMMIDDIYYYY)LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES (Ea rrence
$
MED EXP (Any oneperson)
$
GEN'L
PERSONAL 8 ADV INJURY
E
AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
E
$
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
s
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Pe i
$
$
UMBRELLA LIAB
EXCESS LIAO
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTIONS
$
A
AND EMPLOYERS' LIABILITY WORKERS COMPENSATION YIN
ANYPROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED? IN I (Mandatory in NH)
Ues, describe under
SCRIPTION OF OPERATIONS below
NIA
WC450390602
11/01/21
11/01/22
R STATUTE ERH-
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
t 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required)
All Contracts performed by the Named Insured.
IIUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
7351 Rosanna St. AUTHORIZED REPRESENTATIVE
Gilroy, CA 95020
USA
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
SLandreth-sro
63677095
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