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HomeMy WebLinkAboutCOI - ADT Commercial, LLC - Expires 2023-10-01® CERTIFICATE OF LIABILITY INSURANCE DATE 09e02 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 pollcy(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 Mareb USA Inc. 1560 Saw rass Corporele Pkyry, Suite 300 Sunrise, FL 33323-2858 Aron: ADT.ceRs@marsh.com CONTACT NAME: PHONE A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC® INSURER A: Old Republic Insurance Company 24147 CN709418288-ADT-GAWU-22-23 INSURED ADT Commercial, LLC INSURER B: ACE Prop"And Casually Ins Go 20699 INSURER C : 4384 Enterprise Place Fremont, CA 94538 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-011448524-14 REVISION NUMBER: 0 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. INSR LTR rypE OF ADD S R POUCYNUMBER POLICY EFF MMIDDINTYY POLICY EXP MINVOWN"I OMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rx I OCCUR SIR: $500.000 MWZY 31431822 1010MO22 10/01/2023 EACH OCCURRENCE $ 4,600,000 PREMISES Ea occurenca $ 11000.000 X MED EXP (Any one ram) $ 10,000 X Professional Liab Included PERSONAL &ADV INJURY $ 4,500.000 GEN'L X AGGREGATE LIMIT APPLIES PER: PRO - POLICY �F-1LOC OTHER'. GENERAL AGGREGATE $ 9,000,000 PRODUCTS-COMP/OP AGG $ 9.000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY MWTB 31431922 10/0112022 10/0112023 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 X BODILY INJURY (Par person) $ BODILY INJURY (Par accident) $ PROPERTYDAMAGE Per accident) It $ X UMBRELLA LIAB EXC_ UA13 X OCCUR CLAIMS -MADE G28166837007 10/0112022 10I0112023 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED X RETENTION$ 10000 It A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBEREXCLUDED? � (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA MWC 31431722(ADS) 10/01202 X PER OR TH- STATUTE E E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CITY OF GILROY IRSI L5U W LSLJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 ROSANNA STREET OCT —5 2022 ACCORDANCE WITH THE POLICY PROVISIONS. GILROY, CA 95020 GILROY CITY CLERICSOFFICE AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserve ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Gi V coo cn 3:) " opzo �NG� >Z=- _O coZCm Ul 0�Fn0 040� mZ m PS1WpR&M13 _ Edgewood Partners Insurance Centers (EPIC) _ P. O. Box 5003 San Ramon, CA 94583 202209213914 Electronic Service Requested 43.. EBIX BPO = MIXED AADC 950 — 7147 2.2101 MB 0.512����! �D dl�rrlllllulttt�hllruh�6nl�rrllllrrlllgitty�hl�ldlu Cityy of Gilroyy 181 OCT —5 2022 7351 ROSANNA ST > GILROY, CA 45020-6141 z GILROY CITY CLERK'S OFFICE This document has been brought to you by CertificatesNow on behalf of EPIC Insurance - Brokers & Consultants. - For new certificate requests or if you need changes made to an existing certificate, - please forward the current certificate issued with requested changes - via E-Mail: EPICcerts@epicbrokers.com.- PLEASE NOTE: Requests must be submitted or approved by the Named Insured. - FREQUENTLY ASKED QUESTIONS:- Q: What is a Certificate of Insurance? - A: A written document verifying insurance coverage of the Named Insured listed in - the top left corner.- Q: why am I receiving this? - A: The Named Insured listed in the top left corner is performing or has performed - operations for you where they have been required to show you evidence of their - insurance.- Q: what is this coating me? - A: Certificates are issued as a service to our Named Insured. We will not be - sending you an invoice for having received this document. - If you have any additional questions or concerns regarding the content of this - document, contact our office (925) 244-7700 and ask for an available certificates - team member. - cc: The date included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertRlcatesNow - www.ConfirmNet.com - 877.669.8600