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HomeMy WebLinkAboutCOI - Par Western Line Contractors, LLC - Expires 2024-05-01CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDm ) s/1/zoza 04/25/2023 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 LOCKTON COMPANIES LOCKTON COMPANIES 3657 BRIARPARK DRIVE, SUITE 700 HOUSTON TX 77042 •. ..Deco PAR WESTERN LINE CONTRACTORS, LLC - DIVISION # 364692A QUANTA SERVICES COMPANY 4770 N. BELLEVIEW AVE., SUITE 100 KANSAS CITY MO 64116 147 COVERAGES CERTIFICATE NUMBER- 17RRH31A RFVLCIMJ MIIMRFD• VYVVVVV 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 T Y VPPIJ REDUCEDY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD BS MD POUCYNUMBER MWOO EFF lAllVDDUEXP LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR MINTY 313093 23 MWZX31309523 05 01 202 05/01/202 U51U112024 05/01/202 EACH OCCURRENCE $ 5.000.000 51000000 MED EXP (My a. cc. $ Excluded Y N PERSONAL SADV INJURY $ 1 000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICV� JECT LOC GENERAL AGGREGATE $ 5.000.000 PRODUCTS-COMP/OPAGG $ 5000000 S OTHER: A A AUTOMOBILE LIABILITY ANY AUTO MWTB 313092 23. MWZX31309123 05/01/202 05101/2023 05/01/202 0510112024 OMBINEDISINGLE LIMIT Es accide $5,000000 X BODILY INJURY (Per person) $XXXXXXX X BODILY INJURY (Per acdclenl $XXXXXXX WNE A OSDONLY AUTOSULED HAUTOS IRED ONLY X AUTOS ONLY Y N X Perna Q AMAGE S XXXXXXX s XXXXXXX UMBRELLALIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMSWADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS'UABILIT' YIN MWC31309423 05/01/202 05/01/202 X OFPICREPM IEMB REXCLUDERD E'! CUTIVE (Mandator, In NH) Ilya, deeoibe unaer NIA N E.L. EACH ACCIDENT $ 1000000 E.L.DISEASE-EAEMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $100D000 DESCRIPTIONOPOPERATIONSbebe DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Additional Insured in favor of The City of Gilroy (on all policies except Workers' Compensation/EL) where and to the extent required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12686314 MAY 3 0 2323 AUTHORIZED REPRESENTATIVE The City of Gilroy 7351 Roseanne St Gilroy CA 95020 GILROYCIIYCLERK'S OFFICE Mm MY . CJ ILV 1 VI VJ) 1 ne AUUKU name ano logo are registered marKs of AGUHU May 1, 2023 Re: Quanta Services and all Subsidiaries Renewal Certificate of Insurance Dear Certificate Holder: Enclosed for your records you will find the renewal Certificate of Insurance for Quanta Services and its Subsidiaries. To expedite the delivery of future renewal certificates, we are collecting email addresses for all certificate holders. Please note that if no email address is on file, we will continue to mail a certificate of insurance to the mailing address on file. If you wish to receive E-mail version of renewal certificates going forward, please send the email address at which you would like to receive your certificate as well as the Certificate Holder number (see below for directions on how to locate this information) to the following email address: Houston-QuantaECertDelivery@lockton.com Certificate Holder # WICATE MOLDER The Certificate Holder number is 12345678 the 8 digit number directly above the Certificate Holder name and 12345678 address in the bottom left corner SAMPLE of your enclosed COI. 123 Main Street Anywhere AL 12345 :ORZ 25 00161031 Regards, Amy Barnett