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Home My WebLink AboutCOI - Griswold Industries, Cla-Val Company - Expires 2022-04-01'�lhw�?�® CERTIFICATE OF LIABILITY INSURANCE DATE (MMI DNYYY) G4/1602THIS 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 Marsh Risk & Insurance Services 17901 Van Kaman Avenue, Suite 1100 CONTACT NAME: PHONE FAX Na E-MAIL ADDRESS: (949) 399-5800; License #0437153 Irvine, CA 92614 Attn: Newpod8each.CertRequest@mamh.com/F: 212-948-4323 INSURERSAFFORDING COVERAGE NAIC It INSURER A: Hartford Fire Insurance Company 19682 CN102166416-STNDGAWUP-21- INSURED Griswold Industries, Cla-Val Company INSURER B: Continental Insurance Company 35289 INSURER C : Twin City Fire Insurance Company 29459 1701 Placentia Avenue Costa Mesa, CA 92627A475 INSURER D: NIA NIA INSURER E: NIA NIA INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-002486493.06 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. NOTVVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VOTH 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 SUER POLICY NUMBER POLICY EFF MMIDD/YYYY) POLICY EXP IMWDDfYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 71 CLAIMS -MADE � OCCUR $1,000,000 SIR 72ECSOA1987 04/0112021 04/01/2022 EACH OCCURRENCE $ 1,000,000 AMA T RENT D PREMISES Ea occunerce $ 300,000 X MED EXP (Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER. POLICY ❑ JE� EI LOC OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGO $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OVVNED SCHEDULED AUTOS ONLY AUTOS HIRED X NOWOWNED AUTOS ONLY AUTOS ONLY 72UENUM3154 04101/2021 04/0112022 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Par person) $ BODILY INJURY Per accident ( ) $ X PROPERTY DAMAGE Par accident $ X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMSWADE 6011983924 0410112021 04101/2022 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED RETENTION$ $ A C WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 72WNC93100(CA) 721NEH03564 AZ,KS,MI,MD,KY,IL,OH,NC,NY,NJ,VA,U 0410112021 04/0112021 04/01/2022 04101/2022 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Gilroy, its officers, officials and employees are included as additional insured (except workers' compensation) where required by Milan contract. City of Gilroy, its officers, officials and employees 7351 Rosanna Street Gilroy, CA 95020 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 of Marsh Risk & Insurance Services Jaimie Borgonia L 1988-2016 ACORD CORPORATION. All riohtB resPrvPd ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD