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.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
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