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Home My WebLink AboutCOI - Knorr Systems International, LLC - Expires 2022-03-31--1 ® A 1:' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/27/2021 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 endorsement(s). PRODUCER Aon Risk services, Inc of Florida 7650 Courtney Campbell Causeway CONTACT NPHONE AME: (A/C. No. Ext): (866) 283-7122 aC No.): (800) 363-0105 EMAIL ADDRESS: Suite 1000 Tampa FL 33607 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Aspen Specialty insurance Company 10717 Knorr systems International, LLC 2221 Standard Avenue Santa Ana CA 92707 USA INSURERB: Liberty Insurance Corporation 42404 INSURERC: Employers insurance Company of Wausau 21458 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570090817089 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYYI (MMIDD/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY ERACCC921 EACH OCCURRENCE $1, 000, 000 CLAIMS MADE X❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence)$ 300 , 000 MED EXP (Any one person) $25 , 000 PERSONAL & ADV INJURY $1, 000 , 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 , 000, 000 EPOLICY ❑ PRO JECT H LOC PRODUCTS -COMP/OPAGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY A57-z11-0037w5-021 03/31/2021 03/31/2022 COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident A UMBRELLA LIAR X OCCUR EXACCCA21 0 31 2021 03 31 2022 EACH OCCURRENCE S2,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $2 , 000, 000 DED RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N / A WCCZ11C 37WS011 31 2 21 03 31 022 X I PER STATUTE I OTH- R E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE -EA EMPLOYEE $1, 000 , 000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Swimming Pool Heater Replacement City of Gilroy, its.officers, officials, agents and employees are listed as additional insured (except workers Compensation) in regards to services performed by the insured during the referenced project, on a primary and non-contributory basis via 80-02-2367, when required by written contract. A waiver of Subrogation applies in favor of the additional insureds on the workers Compensation policy, when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. �::• City of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna street Gilroy CA 95020 USA rn Coo 0 n T ao 0 rn 0 0 n a 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORO� `..� CERTIFICATE OF LIABILITY INSURANCE DAT 12//D0YY) 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 endorsement(s). PRODUCER Aon Risk Services, Inc of Florida 7650 Courtney Campbell Causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: PHONE (A/C. No. Exq: (866) 283-7122 FAX No.): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Aspen Specialty Insurance Company 10717 Knorr Systems International, LLC 2221 Standard Avenue Santa Ana CA 92707 USA INSURERS: Liberty Insurance Corporation 42404 INSURERC: Employers Insurance Company of Wausau 21458 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570090817088 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDO/YYY MM/DD/YYY LIMITS X COMMERCIAL GENERAL LIABILITY ERACCC9Z1 t373112OZI EACH OCCURRENCE $1, 000, 000 CLAIMS -MADE X❑ OCCUR PREMISES Ea occurrence)$ 300 , 000 MED EXP (Any one person) $ 2 5 , 000 PERSONAL & ADV INJURY $1, 000, 000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S2,000,000 X POLICY E-]1 PRO- a LOC JECT PRODUCTS - COMP/OPAGG S2,000,000 OTHER: B AUTOMOBILE LIABILITY AS7-Z11-0037W5-021 03731/2021 03/31/2022 COMBINED SINGLE LIMIT (Ea accident) S1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident A UMBRELLA LIAR X OCCUR EXACCCA21 03 31 2021 03 31 2022 EACH OCCURRENCE $2 , 000, 000 X EXCESS LIAR CLAIMS -MADE AGGREGATE $2 , 000, 000 DED I RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NI ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N / A WCCz11C0 7w5 11 03/3172021 03 1 2 X I PER STATUTE OTH- IER E.L. EACH ACCIDENT $1, 000 , 000 E.L. DISEASE -EA EMPLOYEE S1,0001000 It Yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Re: Swimming Pool Heater Replacement. City of Gilroy, its officers, officials, agents and employees are listed as additional insured (except workers Compensation) in regards to services performed by the Insured during the referenced project, on a primary and non-contributory basis via 80-02-2367, when required by written contract. A waiver of Subrogation applies in favor of the additional insureds on the workers Compensation policy, when required by written contract. CERTIFICATE HOLDER CANCELLATION 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy CA 95020 USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD