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HomeMy WebLinkAboutCOI - Pro-Pipe, Inc. - Expires 2023-08-15Client#: 1982221 NATIOUND1 I DATE (MM/DD /YYYY ) 8/01/2023 .••• 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 ·j 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~R~!~cT Andrea Vargas LISI Insurance Services, LLC/CL f'tJg,NJo , Ext\: 305 669-6000 I FAX (A/C, No ): 201 Alhambra Circle, Suite 1401 i6'1l~~ss: Andrea.Vargas@usi.com Coral Gables, FL 33134-5108 INSURER (S) AFFORDING COVERAGE NAIC # 305 669-6000 INSURER A : Steadfast Insurance Company 26387 INSURED INSURER s : American Guarantee & Liability Ins Co. 26247 Pro-Pipe , Inc. INSURER c: Zurich American Insurance Company 16535 47 Discovery #250 INSURER D : Travelers Casualty & Surety Co. of Amer 31194 Irvine, CA 92618 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER : THIS IS TO CERT IFY T HAT THE POLIC IES OF INSURANCE LI STE D BE LOW HA VE BEEN ISS UED TO THE INSU RED NAMED ABO VE FO R TH E POLICY PER IOD INDICATE D. NOT W ITHST ANDING ANY REQU IREMENT , TERM OR CON DITIO N OF ANY CON TRACT OR OTHER DOC UMENT WITH RES PECT TO WHICH THIS CERT IFI CATE MAY BE ISSUED OR MAY PERT AIN. THE INS URANC E AFF ORD ED BY THE POLICIES DESCRIBED HER EIN IS SUBJECT TO ALL THE TERMS . EXCL USI ONS AND CO NDI TIONS OF SUCH PO LI CIES . LI MI TS SHOWN MAY HAV E BEE N RE DUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR ,:~hlg)'yfui POLIC Y EXP LIMIT S LTR INSR WVD POLIC Y NUMBER (MM/DD /YYYY ) A X COMMERCIAL GENERAL LIABILIT Y X X GPL247567400 08/01/2022 08/15/2023 EACH OCCURRE NCE s 2 000 000 -□ CLAIMS-MADE ~ OCCUR DAMAG E TO RE NTED PREM ISES (Ea occurre nce) s 100,000 X Contractors MED EX P (A ny one person) s 5 ,000 Pollution PERSONAL & ADV INJURY s 2 ,000,000 - GE N°L AGGREGATE LI MIT APPLIES PER: GENERAL AGGREGATE s 4 ,000,000 7 ixlPRO-PO LI CY X JECT n LOC PROD UCTS -COMP/OP AGG s 2 ,000 ,000 7 OTH ER:--s C AUTOMOBILE LI ABILIT Y X X BAP433518800 08/01/2022 08/15/2023 COMBI NED SI NGLE LIM IT 52 ,000 ,000 /Ea accident\ X ANYA UTO BOD ILY INJURY (Per person) $ -OWNED -SCHEDULED AUTOS ON LY AUTOS BOD ILY INJU RY (Per accide nt) S -~ HI RED NON -OW NED PROPER TY DAMAGE s AUTOS ONLY AUTOS ONL Y (Per acc ide nt\ ~ f-- $ B UMB RELL A LI AS ~ OCCUR SXS254496900 08/01/2022 08/15/2022 EAC H OCCURRE NCE s 1 O 000 000 ~ X EXCESS LIAS CLAI MS-MADE AGG REGATE s10 000 000 OED I I RETENTION s s WORKERS COMPENSATION X WC424797600 08/01/2022 J j PER I j OTH -C 08/15/202 X STATU TE ER AND EMPLOYERS ' LIABILITY Y /N ANY PRO PRIETOR/PART NER/EXECUTIVE Cm E.L. EACH ACC IDEN T s 1 ,000 ,000 OFFICER /MEMBER EXCLU DED? N N /A (Mand at ory in NH ) E.L. DISEASE -EA EMP LOYEE s1 ,000 ,000 If yes, describe under E.L . DISEASE -PO LI CY LIMIT s1 ,000 ,000 DESCRIPTION OF OPERATIONS below D Inland Marine QT6306T179634TIL22 08/01/2022 08/15/2023 500 ,000 Leased/Rented I OED 5 ,000 A Professional Liab GPL247567400 08/01/2022 08/15/202~ 2 ,000,000E/4,000,000Agg DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Ad ditional Remar ks Schedul e, may be att ache d if more space is required) RE : Branch #64 . The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to The City of Gilroy. its officers , agents , employees and volunteers, only when there is a written contract that requires such status, and only with regard to work performed by or on behalf of the named insured. CERTIFICATE HOLDER CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN Engineering Division ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ~ - I © 1988-2015 ACORD CORPORATION . All rights reserved . ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S41026574/M41025295 SAPZR -~ a,·.·.: lr-.,1