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HomeMy WebLinkAboutCOI - EPC Computer Solutions - Expires 2022-10-01EPCCO-1 OP ID: TT2 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 1 09114/2021 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 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 San Jose Insurance Agency Inc. Atlantic -Pacific Ins. Brokers 2542 S. Bascom Ave #280 Campbell, CA 96008tina San Jose Insurance Agency CONTACT Tina Tremain X340 NAME: PHONE 40$-371-3700 FAX No Arc No Ext ADDRESS: Isanjoseins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hanover Insurance Company 22292 INSURED EPC Computer Solutions, 1324 El Camino Real Belmont, CA 94002 INSURER B : INSURER C : INSURER O : INSURER E : INSURER F : CCfVFRAnFA CFRTIFICATF NUMRFR- 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. ILTR TYPE OF INSURANCE WaL POLICY NUMBER MMIDIDIYYYY EFF MMILDOY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 DAMAGE TO RENTED— PREMISES Ea occurrence I 300,00 A X CCMMERCIAL GENERAL LIABILITY X 970188607 10/01/9021 . 10/01/2022 ; CLAIMS -MADE a OCCUR MED EXP (Any one person) I S 10,000 PERSONAL & ADV INJURY Is 2,000,00 GENERAL AGGREGATE S 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 4,000,00 X POLICY PRO-JECT LOC AUTOMOBILE LIABILITY SINGLE LIMIT COMBINED$ I Ea accident) S 1,000,00 BODILY INJURY (Per person) S A X ANY AUTO AWFD391746 10/04/2021 10104/2022 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE PER ACCIDENT S $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DED I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� RY TATMIT R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below i A Professional E&O LHFH364494 10/01/2021 10/01/2022 PEO 1,000,00 IDed 5,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) Certificate holder is named as additional insured with respects to the insured operations CERTIFICATE HOLDER LoANUMLL.A I IUN CITYGIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Gilroy, Officers, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty Y ACCORDANCE WITH THE POLICY PROVISIONS. officials and employees 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 © 1988-2010 ACORD CORPORATION. All rights reservea. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD r Hanover ]nsurance Group.. OHF9701886 5701132 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM ,QrNlcni a tc Name Of Person Or Organization Location And Description Of Completed Operations CITY OF GILROY, 7351 ROSANNA ST ITS OFFICERS, OFFICIALS AND EMPLOYEES GILROY, CA 95020 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) For the purpose of coverage provided by this endorsement, the following changes are made to SECTION II - LIABILITY: A. The following is added to SECTION II - LIABILITY, C. Who Is An Insured: Any person or organization shown in the Schedule above is also an additional insured, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule above, performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. The following is added to SECTION II - LIABILITY, D. Liability And Medical Expenses Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. 391-1602 08 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1