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HomeMy WebLinkAboutCOI - Williams Roofing Company - Expires 2022-01-01WILLROO-01 LCOLON A�aRO CERTIFICATE OF LIABILITY INSURANCE DATEM/DDIYYYY) L 9/23/20212021 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 Salinas-Alliant Insurance Services, Inc 150 Main St Ste 220 Salinas, CA 93901 CONTACT Lisa Colon NAME: PHONE g31 789-8576 FAX 831 789-8599 (A/C, No, Ext): ( ) (A/C, No):( ) ADDRESS: Lisa.Colon@Alliant.com INSURERS AFFORDING COVERAGE NAIC # _ INSURER A, James River Insurance Company 12203 _ INSURED INSURER B : Wesco Insurance Company 25011 INSURER C : State Compensation Insurance Fund of California 35076 Williams Roofing Company 11125 Commercial Parkway Castroville, CA 95012 INSURER D : -- INSURER E : INSURER F : COVERAGES CERTIFICATE NIIMRFR- DrVIQIrI I tut halal-D. 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 LTRD TYPE OF INSURANCE ADDL SUBR' WVD ( POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP I IMMIDDNYYYILIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR 00046393-10 1/1/2021 1/1/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED REMISES IEa occurrence 50,000 $ MED EXP (Any one person) $ 1,000 PERSONAL & ADV INJURY 1 $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F JECT LOC GENERAL AGGREGATE ( $ 2,000,000 I $ 2,000,000 ` PRODUCTS - COMP/OP AGG 1EBL AGGREGATE $ 1,000,000 OTHER: B AUTOMOBILE LIABILITY f COMBINED SINGLE LIMIT ` (Ea accident) 1,000,000 t $ ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOpSV/N WPP1896050 00 1/1/2021 1/1/2022 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ X AUTOS ONLY X AUTOS ONL� PeOr acEcidentDAMAGE _ $ A UMBRELLA LIAB EXCESS LIAB X I OCCUR CLAIMS -MADE , 100051398-9 I 111/2021 1/1/2022 EACH OCCURRENCE $ 2,000,000 X AGGREGATE $ 2,000,000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A I 9074530-2021 10/1/2021 10/1/2022 I STATUTE I OTR X I PER I H- E.L. EACH ACCIDENT 1,00O,OOp $ .. ELDISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 000 $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) City of Gilroy Building Dept. 7351 Rosanna Gilroy, CA 96020 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 All "� 1;E-% ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD