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HomeMy WebLinkAboutCOI - Sedgwick LP and Subsidiaries - Expires 2023-09-30A4C40�R6 CERTIFICATE OF LIABILITY INSURANCE °09122 ;�°"Y"'T 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 terns 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 'Marsh USA Inc. CONTACT NAME: Kam Angus 6410 Poplar Ave Suite 540 Memphis, TN 38119 PHONE (901)684-3725 ac No: E-MAIL ADDRESS: k.angus@marsh.com INSURERS AFFORDING COVERAGE NAIC# CNIO1395638-GAWU-22-23 INSURER A : Hartford Fire Insurance Co 19682 INSURED Sedgwick LP and Subsidiaries INSURERB: Hartford UnderWdters Insurance Ccirnipany 30104 8125 Sedgwick Way Memphis, TN 38125 INSURER C: TvAn Cily Fire Insurance Co 29459 INSURER D: Everest National Insurance Co 10120 INSURER E: Hartford Insurance Company of the Mdvrest 37478 INSURER F: Hartford Accident & Indemnity Co. 22357 CUVCRAGES CtK IIFICATF NI IMRFR- ATL-005079113-10 Mr Iic, rar urn 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, ILTRR TYPE OF INSURANCE AM BR POLICYNUMBER MD M/DIYYYMM/�/Y DYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 20CSEC75302 09130/2022 09/30/2023 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE rx I OCCUR PREMISES Me o=,rrence $ 2,000,000 MED EXP(An arse non) $ 0 PERSONAL& ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 GEN'L %f POLICY 0 El SCOT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILELIABILITY 20GSEC75305AOS 0913012022 09/30/2023 COMBINED SINGLE LIMB Ea accident) $ 2,000,000 B BODILY INJURY (Par person) $ ANY AUTO 2DCSEC75307 HI 09/3012022 09/30/2023 OWNED SCHEDULED JX AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Par accident $ X UMBRELLA UAB X OCCUR XC50000153-221 09/30/2022 09/30/2023 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS DAB CLAIMS -MADE LIED X RETENTION$10000 1 F WORKERS COMPENSATION 20WNC75300(ADS) 0913012022 0913012023 X PER OT H- $ C AND EMPLOYERS' LIABILITY YIN STATUTE ER 1000000 ANYPROPRIETOR/PARTNER/EXECUTIVE 20WBRC75301(MA, WI) 09/3012022 09/30/2023 E OFFICERIMEMBEREXCLUDED4 El NIA E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory In NH) 20 WN C75308(AK,ID,MT,MN) 09130Y2022 09/30/2023 Ifes, describe under y E.L. DISEASE -POLICY LIMIT It 1,000,000 DESCRIPTION OF OPERATIONSbelcw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be anached If more apace Is required) THE CITY OF GILROY IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT SUBJECT TO POLICY TERMS AND CONDITIONS. G'3C�C�C�OMC�D CITY OF GILROY I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 ROSANNA, TREET 'S THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN [GILROY CITY CLERKOFFICE GILROY, CA 95020 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE ACORD 25 (2016103) i/GCl1L¢fL vejTl VKC. ©1988-2016 The ACORD name and logo are registered marks of ACORD All ri°hte raenrvnd. 0 V ai O 0 V W o_ 0 0 V co O M O J O -n W 0 CD co Z OD0 CD N (n O ._.( m m m a W V tp W