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Home My WebLink AboutCOI - Steven Gortler - Expires 2024-08-016^a CERTIFICATE OF LIABILITY INSURANCE Li DATE 0/21121/2023 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 endorsements . PRODUCER CONTACT CSBS/ALEXANDER J WAYNE & ASSOC INC NAME PHONE FAX PO BOX 958489 A/C, No, EXI : INC, No): EMAIL Lake Mary, FL 32746-8989 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 1-877-724-266669 Company INSURER A: Continental Casualty om C 20443 INSURED INSURER e: INSURERC: STEVEN GORTLER INSURER D: 268 BUSH ST BOX 3911 INSURER E: SAN FRANCISCO, CA 94104-3503 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANDINGANY 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 TYPE OF INSURANCE ADDL INSD SUER ME) POLICY NUMBER POLICY EFF MMIDDMy POLICY EXP MMIDGrYY3 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IX-1OCCUROCCUR Y 6021198826 08/01/23 08/01/24 EACH OCCURRENCE $ 1 Q00 Q0Q TO RENT DAMAGEPREMISEScoEDrerce $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY imT X LOC PRODUCTS-COMP/OPAGG $ 2000000 OTHER', A AUTOMOBILE LIABILITY 6021198826 08/01/23 08/01/24 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODI LV I NJURV(Per person) $ ANY AUTO OWNEDAUTOS SCHEDULED ONLY AR BODILY INJURVPer accident ( ) $ IX (Per DAMAGE accident) $ HIRED AUTOS NON-TOOWNED ONLY X AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N PER STATUTE OTH- ER ANY PROPRIETOWPARTNEINEXECUTIVE OFFICERMIEMBER EXCLUDED? (Mandatory In NH) If yes, describe under N/A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below OTHER PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L DISEASE-POUCYLIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Acord M, Additional Remarks Schedule, may be attached If more space Is mqumd) City of Gilroy is added as an additional insured as provided in the blanket additional insured endorsement as it pertains to work being performed by the named insured under written contract. V CRIIr IVHIL I'tVLLILK .-.��vl�u v L LJI CANCELLATION City Of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JUN 2 7 2023 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street GILROYCITY CLERK'S OFFICE ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPREPR A 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD