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Home My WebLink AboutCOI - Global Water Technology, Inc. - Expires 2024-01-01ACOROa CERTIFICATE OF LIABILITY INSURANCE DATE(MnvoayYYO 12/27/2022 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(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 Helen Brown NAME: McGowan Insurance Group PHGNE rn (317) 464-5000 FAX A/C No):(317) 464-5001 AIC No E: 355 Indiana Avenue EMAIL helenb@mcgowaninsgrp.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAICA Suite 200 Indianapolis IN 46204 INSURERA: Crum 8, Forster Specialty Insurance Co. 44520 INSURED INSURER B: Hanover Insurance Companies 22292 Global Water Technology, Inc. INSURER C: United States Liability Insurance Co. 25895 354 Armory Dr. INSURER D : INSURER E : South Holland IL 60473 1 INSURER F: COVERAGES CERTIFICATE NUMBER: Global 23-24 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 TYPE OF INSURANCE INSD D POLICY NUMBER P CY FF MWDD POLICY EXP MMIDD/YUP LIMITS X COMMERCIAL GENERALLIABILITY CLAIMS -MADE Fx� OCCUR EACH OCCURRENCE 9 1,000,000 ccu PREMISES Eaomrrtence b 50,000 X VIED EXP(Any one person) $ 5,000 Contractors Pollution X Professional/Contractors Liability PERSONALBADV INJURY $ 1,000,000 A EPK138334 01/01/2023 01101/2024 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY © ECT PRO- FLOC GENERALAGGREGATE S 3,000,000 PRODUCTS-COMP/OPAGG S 3,000,000 Pollution/Professional 5 1,000,000 OTHER: AUTOMOBILE LULBIUTY COMBINED SINGLE LIMIT Ea oWdenl $ 1.000,000 X BODILY INJURY(Perpenam) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS AVWVH465898 01/01/2023 01/01/2024 BODILYINJURY(PeraWdent) 5 PROPERTY DAMAGE Per actident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S X UMBRELLA UAB OCCUR EACH OCCURRENCE S 9,000,000 AGGREGATE $ 9.000,000 A EXCESS LwB CLAIMS -MADE EFX119587 01/01/2023 01/01/2024 DED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑YN OFFICER/MEMBER EXCLUDED? IMandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below NIA WMWH465877 01/01/2023 01/Ot/2024 X PER ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 5 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Management Liability CD1552353A 01/01/2023 01/01/2024 EPL/Fidiciary $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remams Schedule, may be aeached It more space is required) The following apply when required by written agreement: General Liability Additional Insured including Ongoing and Completed Operations on a primary and non-contributory basis, and Waiver of Subrogation per forms EN0230, EN0111, EN0109 & En0188 ;Auto Liability Additional Insured on a primary and non-contributory, basis, and Waiver of Subrogation per fors 461-0478 & 461-0155 Workers Compensation Waiver of Subrogation per form W0000313 Umbrella is follow for over the underlying limits and endorsements applicable to General Liability, Professional, Pollution, Auto Liability and Employers Liability. GILROY CITY CLERK'S OFFICE City of Gilroy, Its Officers and Employees 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 WITH THE POLICY PROVISIONS. i @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD