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Home My WebLink AboutCOI - Comcast - Expires 2022-12-01AC'CUR" CERTIFICATE OF LIABILITY INSURANCE kl ., DATE (MMIDDNYYY) 11118/2021 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 endorsements . PRODUCER MARSH USA INC. 1717 Arch Street CONTACT NAME: PHONE FAX No): Ep AIL Philadelphia, PA 19103-2797 Attn: Comcast.Certs@marsh.com Fax: 212-9"60 INSURERIS) AFFORDING COVERAGE NAIC p INSURER A: ACE American Insurance Cornpany 22667 INSURED INSURER e : Indemnity Ins Co Of North America 43575 INSURER C : ACE Pro And Castialty Ins Co 2W99 2500 BATES AVE. INSURER D : ACE Fire Underwriters Ins. Co. 20702 CONCORD, CA M20 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-005487168-36 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY XSL G72480922 12/01/2021 12/01/2022 EACH OCCURRENCE $ 14,900,000 CLAIMS -MADE FIOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 14,900,000 X MED EXP (Amy one ) $ 10,000 SIR: $100,000 PERSONAL & ADV INJURY $ 14,9W,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 60,000.000 X POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 15,000,000 $ OTHER: A AUTOMOBILE LIABILITY ISA H25542964 12MI/2021 12101/2022 COMBINED SINGLE LIMIT Ea accident $ 15,000,0W BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR XEU G27924840 007 12/01/2021 12/01/2022 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE OED RETENTION $ $ B A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PRIET RIPARTNEER EXECUTIVE N OFFICE (Mandatory in NH) N/A WLR C68917943 (AOS) WLR C68917980 (CA, MA) SCF C68918056 i 12101/2021 12101/2021 1210112022 1210112022 X STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYE $ 2,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 A Excess Workers Compensa0on WCU C68918029 (WA) 12101/2021 12/01/2022 Ea AcclDis EmployeelDis Poliq 2,000 = SIR 5,000,0W DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11 more space Is required) CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY POLICY AND AUTOMOBILE LIABILITY POLICY WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. CITY OF GILROY, CA 7351 ROSANNA STREET GILROY, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE V41TH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 2l.19.P4 4740c. 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD 000 0> >ZF wzm ono off. 33a m f,r�r