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HomeMy WebLinkAboutCOI - Flagship Facility Services, Inc. - Expires 2024-07-01A ��b ® CERTIFICATE OF LIABILITY INSURANCE 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR 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 Woodruff Sawyer 50 California Street, Floor 12 San Francisco CA 94111 CONTACT WS Certificates PHONE FAX 844-872-6329 Arc Na: ADDRESS: certificates woodruffsawyeccom INSURERISI AFFORDING COVERAGE NAICO INSURER A: ACE American Insurance Company 22667 INSURED Flagship Facility Services, Inc. 1050 N. Fifth Street INSURER B: ACE Property & Casualty Insurance Company 20699 INSURERC: Bridneway Insurance Comp ny 12489 INSURER D: San Jose, CA 95112 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1290317551 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IL1H TYPE OF INSURANCE ADDLISUBR INSOWVD POLICYNUMBER POLICYEFF MWDDIYYYY) POUCYEXP JMMIDDIYYYYI LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR 7EA7GL1001330-00 7/1/2023 7/1/2024 EACH OCCURRENCE $1,750,000 A ETO RENTED PREMISES Eaemumence $1,000,000 MED EXP (Any one person) $ Excluded PERSONALSBVINJURY $1,750,000 GEN'L %( AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: GENERALAGGREGATE $4.000.000 PRODUCTS - COMP/OP AGO $4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ISAH08871395 7/1/2023 71,12024 COMBEa INEDSINGLE LIMIT $2,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE XEUG72585OIA002 I 7/1/2023 7/1/2024 EACH OCCURRENCE $15.000.000 AGGREGATE S 15.000.000 DEO I I RETENTIONS $ A WORKERS AND EMPLOY RSENSATION LIABILITY YIN ANYPROPRIETOWPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED9 (Mandatory in NH) If yes, describe under DESCRIPTIONOFOPERATIONSbelow NIA WLRC68932488 7/1/2023 7/1/2024 X STATUTE ER E.L.EACHACCIDENT $1,000.000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT — $1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Gilroy, its officers, employees, agents, council members 8 other representatives are included as additional insured as respects General Liability to the extent provided per forms to follow. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPITION DATE THEREOF, NOTIC JUL 17 2023 ACCORDANCEWTH THE POLICY PROVISIONS.E WILL BE DELIVERED IN City of Gilroy p 7351 R A osanna Street GILROYCITYCLERWSOFFICE AU�ORQE.RR1EPRESENTATIVE Gilro DATE (MM/1H)TY Y) 6/29/202 ©1988-2015 ACORD CORPORATION. All rlahts reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD