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HomeMy WebLinkAboutCOI - Sanchez Concrete Construction, Inc. - Expires 2022-02-11SANCH-4 OP !Do J1 DATE (MMroD1YYYY) 09/2112021 AC�RO' �� CERTIFICATE OF LIABILITY INSURANCE 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 endorsements . PRODUCER 916-364-7380 Sierra Oak Insurance Services LIc# OC97528 W. CT Daniel Brock PHONE 916-364-7380 FAX 916-364-7381 WC, No, Exq: (AIC, No): WASS: certs@einsurancespecialist.com 9700 Business Park Dr. Ste 105 Sacramento, CA 95827 Daniel E. Brock INSURERS AFFORDING COVERAGE NAIC 8 INSURER A : Wesco Insurance Company 25011 INSURED Sanchez Concrete Construction, Inc INSURER B : Security National Insurance Co 19879 INSURER C : INSURER D 2747 Aiello Or Unit A San Jose, CA 95111 INSURER E INSURER F r_nVERA►GFS CFRTIFICA►TE NUMRFR- 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 TYPE OF INSURANCE ADa SUB POLICY NUMBER POLICY A EFF POLICOY EXPLTR LIMITS A GENERAL LIABILITY CLAIMS -MADE [_X] OCCUR X WPP140685005 02/10/2021 02111/2022 EACH OCCURRENCE $ 1,000,000 rpCOMMERCIAL DAMAGE TO RENTED PREWSES (Ea occurrence) $ 100,000 MED EXP (Any one erson 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY a Peet LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS- COMP/OP AG $ 2,000,000 AUTOMOBILE LIABILITY A ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTODS ONLY AUpOS OrNLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Per erson $ BODILY INJURY Per accident BODILY $ Per aaRT �t AMAGE d $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEfORIPARTNER/EXECUTIVE YIN FICER/MEMg�R EXCLUDED? andalory In NH} describe under "es DESCRIPTION OF OPERATIONS below N ! A SWC1356609 10/01/2021 10101/2022 X PER OTH- E L EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS ! LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Gilroy, its Officers, Officials, Representative Agents, Employees and Volunteers are named additional Insured for all liability arising out of he operations by or on behalf of the named insured if required by contract per attached endorsements. CITYOGL City of Gilroy Public Works Departments Engineering Division 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EVEREST INDEMNITY INSURANCE COMPANY 10150 YORK RD 5TH FLOOR HUNT VALLEY MD 21030 REINSTATEMENT NOTICE Named Insured & Mailing Address: Producer: AGT20381 KYSMET SECURITY & PATROL TRANS HUDSON BROKERAGE, LLC 2MACK-CALI CENTER II 1 W LAUREL DR #49 650 FROM ROAD STE 295 SALINAS CA 93906 PARAMUS NJ 07652 Policy No.: 51 GLO15613-211 Type of Policy: GENERAL LIABILITY OCCURRENCE You recently received a notice advising this policy was being cancelled effective 09/06/2021 . This notice is to advise that the policy is being reinstated without lapse in coverage. Additional Insured CITY OF GILROY 7351 ROSSANA STREET GILROY, CA 95020 Date Mailed: 20th day of �eptembe - ;r J CHRIS MCGOVERN CACT15 FORM# CT969897CA51995 09202021MINY 11f1CA1 .3 n n4 n0.. ..... IF - A .dd:.7. --1 1...., -.4 Page 1 of 1