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HomeMy WebLinkAboutCOI - Kysmet Security & Patrol - Expires 2023-01-28EVEREST 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 21 W LAUREL DR #49 MACK-CALI CENTER II 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 nonce advising this policy was being cancelled effective 01/28/2022 . 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: 24th day of January, 202 CHRIS MCGOVERN CACT15 FORM# CT969897CA51995 01242022SINY A aa;.,..-- Paqe 1 of 1 CERTHOLOER COPY P.Q. BOX 8192, PLEASANTON, CA 94588 NA CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-13-2022 CITY OF GILROY NA 7351 ROSANNA ST GILROY CA 95020-6141 GROUP: POLICY NUMBER: 9261123-2021 CERTIFICATE ID: 6 CERTIFICATE EXPIRES: 09-20-2022 09-20-2021/09-20-2022 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO FOR BID PURPOSES ONLY. IF A BID IS ACCEPTED, A NEW CERTIFICATE MUST BE ISSUED. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. EMPLOYER EMPOWERING OUR COMMUNITY FOR SUCCESS (A NON PROFIT PUBLIC BENEFIT CORP) (A NONPROFIT MUTUAL BENEFIT CORP.) EMPOWERING OUR COMMUNITY FOR SUCCESS 1711 WARBURTON AVE APT 5 SANTA CLARA CA 95050 M0408 iREV.7-2014? PRINTED : 01-14-2022 EVEREST INDEMNITY INSURANCE COMPANY 10150 YORK RD 5TH FLOOR HUNT VALLEY MD 21030 NOTICE OF CANCELLATION OF INSURANCE Named Insured & Mailing Address: KYSMET SECURITY & PATROL 21 W LAUREL DR #49 SALINAS CA 93906 Producer: AGT20381 TRANS HUDSON BROKERAGE, LLC MACK-CALI CENTER II 650 FROM ROAD STE 295 PARAMUS NJ 07652 Policy No.: 51 GLO15613-211 Type of Policy: GENERAL LIABILITY OCCURRENCE Date of Cancellation: 01/28/2022; 12:01 A.M. Eastern Time at the mailing address of the Named Insured. We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above. The reason for cancellation is NON PAYMENT OF PREMIUM TO THE FINANCE COMPANY. Your interest in this policy as an "insured" or other party of interest is being cancelled effective 01 /28/2022; 12:01 A.M. Eastern Time at the mailing address of the named insured. Additional Insured CITY OF GILROY 7351 ROSSANA STREET GILROY, CA 95020 Date Mailed: 7th day of January, 20?,r2 CHRIS MCGOVERN CACC15NONPMNT FORM# CC9697CA51995 01072022MNNY 7 f�..— s„- AAA:#:. --1 -...a Paqe 1 of 1