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HomeMy WebLinkAboutCOI - Syngenta Flowers, LLC - Expires 2024-01-01ACC)Ro® CERTIFICATE OF LIABILITY INSURANCE `� vv2o24 DATE(MWDDIYYYY) 12/29/2022 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(les) 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 endomement(s). PRODUCER Lockton Companies CONTACT PHONE 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 E-MAIL ADDRESS (816) 960-9000 kctsu@lockton.com INSURER(SI AFFORDING COVERAGE NAIC4 INSURER A: ACE American Insurance Company 22667 INSURED SYNGENTA FLOWERS, LLC INSURER B: Zurich American Insurance Company 16535 INSURER C: 5131222280 HECKER PASS HIGHWAY GILROY CA 95020 INSURER D : NSURER E NSURER F COVERAGES CERTIFICATE NUMBER: 18784487 REVISION NUMBER: XXXXXXX 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 CONTRACTOR 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 AL THE TERMS rXQI UAIQNS AND COKN SUCH I SH ED 13Y PAID CLAIMS INSR LTR TYPE OF INSURANCE ADOL INSD UB LU D POLICY NUMBER POLICY EFF MMIDDIYYVY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIALGENERALLIABILITY LC 1444 3-06 01/01/202 01/01/2U2 EACHOCCURRENCE $ 5000000 X CLAIMS -MADE❑ OCCUR $ 5,000,000 MEDUP An one rsen $ 5,000 Y N PERSONAL SAOV INJURY $ 5,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY❑ JEG LOC GENERAL AGGREGATE $ 5,000,000 ]q PRODUCTS - COMP/OP AGO $ 5,000,000 $ OTHER: A AUTOMOBILE LIABILITY ISAH10704285 01/01/202 01101/2024 COMBINED SINGLE INGLELIMIT SSOOOOOO X BODILY INJURY (Per Pelson) $XXYXV, (( ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N BODILY INJURY (Per accident) S XXXXXXX Pd20PERTY AMAGE eramidenl $ XXXXXXX $XXXXXXX UMBRELLA LIAR OCCUR NOT APPLICABLE EACH OCCURRENCE SXXXXXXX AGGREGATE S XXXXXXX EXCESS LIAR LAIMS-MADE DEC) I I RETENTION S S A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICERAIEMBEREXCWER ECO LEI 1MandatorylnNR) NIA N WLR C70308526 SCF C70308563 SCFC70308484 01/01/202 01/01/202 01/01/202 01/01/202 01/01/202 01/01/2024 X - E.L. EACHACCIDENT S5,000000 E.L. DISEASE -EA EMPLOYEE S5000000 DESLRIa MO OF Oetr E.L. DISEASE -POLICY LIMIT $5000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remark, Schedule, may be attached If more space Is required) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY COVERAGE, WHICH IS PRIMARY COVERAGE TO THE ADDITIONAL INSURED AND OTHER AVAILABLE INSURANCE WILL BE NON-CONTRIBUTORY AS REQUIRED BY WRITTEN CONTRACT, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. �D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 18784487 JAN 2 5 2023 AUTHORIZED REPRESENTATIVE CITY OF GILROY 7351 ROSANNA STREET GILROY CRY CLERICS OFFICE GILROY CA 95020 fl ACURU 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATEY) vvzo2a 12/29/2022022 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 endomement(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 kctsu@lockton.com NAME' I PHONE IAIC, Rol, E-MAIL INSURERS AFFORDING COVERAGE NAICN INSURERA: ACE American Insurance Company 22667 INSURED SYNGENTA FLOWERS, LLC 5131222280 HECKER PASS HIGHWAY GILROY CA 95020 INSURERS: Zurich American Insurance Company 16535 INSURERC: COVERAGES CERTIFICATF NUMRFR- 1R7RddAA RFvlslnM MnN1RCR• YVYYYYY 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 CONTRACTOR 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 E T NS AND CONDITIONSOF SUCH POLICIES, LIMITSOW MAY H BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE IN30 NND POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY MM/DDIYYYY EXP LIMITS B X COMMERCIAL GENERAL LIABILITY 0144423-06 01/01/202 01/01/2 2 EACH OCCURRENCE S 5000000 X CLAIMS -MADE ❑ OCCURPREMISES (Fa oocume,oW, $ 5,000,000 MED EXP An one rson S 5,000 Y N PERSONALS AOV INJURY $ 5,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: PRO- POLICY❑ JE T ❑LOC GENERALAGGREGATE S 5.000.000 PRODUCTS - COMPIOPAGO S 5000000 S OTHER: A AUTOMOBILE LIABILITY ANY AUTO ISA H10704285 01/01/202 0110112021 COaBINED SINGLE LIMIT $ 5,000000 X BODILY INJURY (Per person) $ XX�XXX W ONED SCHEDULED AUTOS ONLY AUTOS NON-OMED AUTOS ONLY AUTOS NN IHIRED BODILY INJURY (Per accident) S xxxxXXX Pfge0ecudent AMAGE S XXXXXXX $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE s XXXXXXX AGGREGATE s XXXXXXX EXCESS LIAR LAWS -MADE DED I RETENTION $ S A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANTPROPRIEfORNARTNE114NECl?NE OFFICERMEMBEREXCLUDED> N (Mandatory In NMI DESCRIPTION OF OPEMTIONS Oebx DESCRIPTION OFO N/A N WLR C70308526 SCFC70308563 SCF C70308484 01/01/202 01/01/202 01/01/202 01/01/202 01I01/202 01/0112024 X E.LEACHACCIDENT $ 5,000,000 E.L. DISEASE - EA EMPLOYEE $5000000 E.L. DISEASE - POLICY LIMIT $SOOOOOO DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is requlmtl) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY COVERAGE, WHICH IS PRIMARY COVERAGE TO THE ADDITIONAL INSURED AND OTHER AVAILABLE INSURANCE WILL BE NON-CONTRIBUTORY AS REQUIRED BY WRITTEN CONTRACT, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. [' }CSC OMMD JAN 2 5 2023 18784486 CITY OF GILROY 7351 ROSANNA STREE TGILROY CITY CLERICS OFFICE GILROY 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 REPRESENTATIVE AUUKU 20 tLU1b/UJ) Fhe ACORD name and logo are registered marks of ACORD