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HomeMy WebLinkAboutCOI - Sierra Installations, Inc. - Expires 2022-09-01SIERR-4 OP ID: KC '4�oRo CERTIFICATE OF LIABILITY INSURANCE DATE 09/01/202 YY) 09/0112021 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 559-233-0123 Agri -Center Insurance Agency 2650 W. Shaw Lane, Suite 102 CONTACT Kim Cameron NAME: PHONE 559-233-0123 FAX 559-266-8858 (A/C, No, Ext): (A/C, No): Fresno, CA 93711 Martin McCubbin ADDRESS: kim@agrlcentei nsurance.com INSURER(§) AFFORDING COVERAGE NAIC # INSURER A: State Compensation Ins. Fund 35076 INSURED Sierra Installations, Inc. P.O. Box 9871 Fresno, CA 93794 INSURER B : INSURER C : INSURER D INSURER E : INSURER F : C0VFRAGFR r1=RT11=If_AT= Al11MRCID& o=%nc\inwr wn rwwnre. 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 NSR I TYPE OF INSURANCE ADD( SUB POLICY NUMBER PIOLDICDY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea o ccurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY I $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PECT LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson)_ $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PPeOPERT DAMAGE $ AUTOS ONLY AUOTN S ONLYY is UMBRELLA LIAB HRETENTION OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECU I IVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 911095921 09/01 /2021 09/01 /2022 X PER OTH- TATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 I E.L. DISEASE - POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITYGIL Gilroy Chamber of Commerce City of Gilroy c/o Public Works Dept 7351 Rosanna Street Gilory, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATI r Martin McCubbin �-► ACURD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD