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HomeMy WebLinkAboutCOI - Syngenta Flowers, LLC - Expires 2023-01-01Page 1 of 1 .4CO_ CERTIFICATE OF LIABILITY INSURANCE DATE 12/20/2021Y) 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 CONTACT NAME: Willis Towers Watson Certificate Center Willis Towers Watson Northeast, Inc. PHONE 1-877-945-7378 PAX 1-888-467-2378 c/o 26 Century Blvd ' (NC.No): E-MAIL : certificates willia . com P.O. Box 305191 ADDRE @ Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC # INSURER A : Zurich American Insurance Company 16535 INSURED INSURER B : ACE American Insurance company 22667 Syngen2280Hta Flowers, LLC Indemnity Insurance Company of North Ameri 43575 2280 Hecker Paae Highway INSURER C : Y mP Y Gilroy, CA 95020 INSURER D : COVERAGES CERTIFICATE NUMBER: W23221380 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. POLICY EFF POLICY EXP T-- -- - --- - - - LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MPArDDIYYY f MM/DDIYYYY UNATS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 X I CLAIMS -MADE 1 1 OCCUR DAMAGE I $ I PREMISES (Ea occurrence) 5,000,000 A MED EXP (Any one person) $ 5,000 Y GLCO0144423-05 01/01/2022's01/01/20231 PERSONAL 8�AOVINJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ; GENERAL AGGREGATE $ 5,000,000 I PRO. X ! POLICY L� JEC7 LOC I PRODUCTS. COMP/OP AGG ' $ -- Included OTHER: 111j $ AUTOMOBILE LIABILITY _ ! COMBINED SINGLE LIMIT $ __CEa aeadent�---- - __ - 5,000,000 — — - X ANY AUTO BODILY INJURY (Per person) $ B OWNED I SCHEDULED ISA H25548681 AUTOS ONLY AUTOS 01/01/2022 01/01/2023 BODILY INJURY (Per accident) $ HIRED + NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY tjPer accident__- $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB 1� CLAIMS -MADE AGGREGATE $ I DED RETENTION $ + $ WORKERS COMPENSATION OTH- X IPER STATUTE I ! ER AND EMPLOYERS' LIABILITY Y N ------ - C : ANYPROPRIETOKPARTNER!EXECUTIVE E.L. EACH ACCIDENT $ 5,000,000 OFFICE R-MEMBER EXCLUDED? lNol NIA WLR C68910390 01/01/2022 01/01/2023' (Mandatory In NH) E.L. DISEASE • EA EMPLOYEE $ 5,000,000 [ties. describe under DESCRIPTION OF OPERATIONS below _ ; E.L. DISEASE • POLICY LIMIT $ 5,000,000 I i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: APNs 810-21-021 and 810-21-022 City of Gilroy is included as an Additional Insured as respects to General Liability. General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured. ut:K I It-l%;A I E MULDER 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 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sit =o: 21958473 BATCH: 2345338 3 of 3 5842