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
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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
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