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Home My WebLink AboutCOI - C G R S, Inc. & CA Testco, LLC - Expires 2023-03-01CGRSINC-01 LPREWI ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(M `•�--� 2125/202YYY) 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 CO ACT PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 PHONE FAX 1A/c, No. Ext : (970) 635-9400 (AIC, No :(970) 635-9401 I . info@mypfsinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Admiral Insurance Company 24856 INSURED INSURER B : Everest National Insurance Company 10120 INSURER C: Zurich American Insurance Co 16535 C G R S, Inc. & CA TESTCO, LLC INSURER D :Travelers Property Casualty Company of America 25674 1301 Academy Ct Fort Collins, CO 80524 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 LTR TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Blanket Add'l Insd X FEI-ECC-13290-09 3/1/2022 3/1/2023 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea omDAMAGE TO RENTED $ 100�QQQ X MED EXP (Any oneperson) $ 10,000 X Blkt Waiver of Subro PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [X1 ippa LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AURRTEgOS ONLY AUTOS ED AbTOS ONLY X AUTO ONLY Blanket Add'I Insd X RIM Waiver of X CF2CA00249-221 3/1/2022 3/1/2023 COMBINED SINGLE LIMIT (Ea accident)X $ 1,000,000 BODILY INJURY Per erson $ BODILY INJURY Per accident $ X P�err acEciRdent AMAGE $ X $ A UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE FEI-EXS-13291-09 311/2022 3/1/2023 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 DED I X I RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N OFF' CERlMgMBER EXCLUDED? (Mandatoryin NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A WC4632690-10 1/1/2022 1/1/2023 X I PER OTH- E L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1'QQQ'00Q E.L. DISEASE - POLICY LIMIT 1,000,000 $ D A Leased/Rented Equip Pollution/Profession 3530A3162 FEI-ECC-13290-09 3/112022 3/112022 3/1/2023 3/1/2023 $1,000 Deductible $25,000 200,000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is rsqulred) As required by written contract the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The City of Gilroy, its officers, officials and employees are named as Additional Insured for ongoing and completed operations on a Primary and Non -Contributory basis under General Liability and Automobile Liability. 30 Day Notice of Cancellation applies except 10 days for nonpayment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy, officers, officials and employees tY Y -ACCORDANCE 7351 Rosanna Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. Gilroy, CA 95020 I AUTHORIZED REPRESENTATIVE 4&_" ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r