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Home My WebLink AboutCOI - ACME Plumbing - Expires 2022-06-18'4� CERTIFICATE OF LIABILITY INSURANCE �7f �' 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 teams 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 Ileu of such endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT CLIENT CONTACT CENTER PHONAME: (A CNNo, Ext : 888-333-4949 FA/c Non 507-446-4664 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC rY INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 392-269-7 INSURER B: ACME PLUMBING, EDWARD MENDOZA PO BOX 6204 INSURER C: INSURER D: SALI NAS, CA 93912-6204 NSURER E: NSURER F. F COVERAGES CERTIFICATE NUMBER: 53 REVISION NIJMRFR• 7 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. INSR1 TYPE OF INSURANCE LTR DL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYV LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR BUSINESS OWNER'S LIABILITY Y N 9087832 08/18/2021 06/18/2022 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED PR M Ea occurmnee $100,000 MEO EXP (Any one person) PERSONAL a ADV INJURY $1,000,0W GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY 0 ECT LOC OTHER: GENERAL AGGREGATE $2,000,13OO PRODUCTS - COMPIOP AGO $2,000,000 A I AUTOMOBILE P LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY X AUTOS N L NON-OHxx AUTOS ONLYPersecldenSEE BELOW - IA N N 9087833 06118/2021 06/18/2022 COMBINED SINGLE LIMIT Ea accidenO $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE AEXCESS ��, UMBRELLA LIAB LIAB I X OCCUR CLAIMS -MADE N N 6035414 06/18/2021 06/18/2022 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,0W DED I I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A PER STATUTE OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L DISEASE •POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached it more space is required) SYMBOL 4A: AUTOMOBILE LIABILITY INCLUDES OWNED AUTOS OTHER THAN PRIVATE PASSENGER AUTOS ONLY. CITY OF GILROY IS LISTED AS ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION 392-269-7 CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020-6141 532 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 ® 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD -.p e FEDERATED INSURANCE COMPANIES THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM SCHEDULE State Or Governmental Agency or Subdivision or Political Subdivision: CITY OF GILROY 7351 ROSANNA ST GI LROY CA 95020 The following is added to Paragraph C. Who Is An Insured: 4. Any state or governmental agency or subdivision or political subdivision shown in the Schedule is also an insured, subject to the following provisions: a. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. Insured: ACME PLUMBING *EDWARD MENDOZA DBA PO BOX 6204 SALINAS CA 93912 b. This insurance does not apply to: (1) "Bodily injury", "property damage", or "personal and advertising injury" arising out of operations performed for the state or municipality; or (2) "Bodily injury" or "property damage" included within the "products -completed operations hazard". Place of Issue: FEDERATED MUTUAL INSURANCE COMPANY Home Office 121 East Park Square Owatonna, MN 55060 (507) 455-5200 Includes copyrighted material of Insurance Services Office, Inc., with its permission. BP-F-254 (08-11) Policy Number: 9087832 Transaction Effective Date: 06-18-2021 t ;r CA W n� Oam Nc' o oNx�x X w CD X N X CD in w En w N a 0 o V N •} J