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HomeMy WebLinkAboutCOI - Arther J Gallagher & Co and its Subsidiaries - Expires 2024-10-01ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 9/25/2023 ~ 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(les) 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 CONTACl NAME: Arthur J. Gallagher Risk Management Services, LLC PHONE Irie~ No\: 312-803-7443 300 S Riverside Plaza Ste 1500 ~..lli!,J;;)I!\, 312-704-0100 Chicago IL 60606 ll.thAJ~ss, certreauests@ala.com INSURER($) AFFORDING COVERAGE NAIC# INSURER A: Lexlnaton Insurance Comoanv 19437 INSURED ARTHJGA113 INSURER s: XL Soeclaltv Insurance Comoanv 37885 Arthur J Gallagher & Co and its Subsidiaries INSURER c : Underwriters at Llovd's London 15792 2850 West Golf Road Rolling Meadows, IL 60008 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1751980103 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, imWf~- TYPE OF INSURANCE ADDL SUBR POLICY EFF 'P<:i"LICYEXP LIMITS LTR IINSD WV □ POLICY NUMBER IMM/DD/YYYY\ IMM/D0/YYYY\ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ~ D CLAIMS-MADE □ OCCUR ~~~~~~J YE~~~~~-~ence\ .__ $ -MED EXP (Any one parson) $ PERSONAL & ADV INJURY r-$ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ R □PRO· □ PRODUCTS· COMP/OP AGG $ POLICY JECT LOG OTHER: $ AUTOMOBILE LIABILITY COMBINEIJ SINGLE LIMIT $ ,__ WEa accld.§JJ.!\ ANY AUTO BOPIL Y INJURY (Per person) $ --OWNED ~---SCHEDULED BODILY INJURY (Per accident) $ -AUTOS ONLY 1----AUTOS HIRED NON-OWNED rp~?~~c~Je~t~AMAGE $ -AUTOS ONLY ,-..... AUTOS ONLY $ UMBRELLA LIAB I~ OCCUR EACH OCCURRENCE $ -EXCESSLIAB CLAIMS-MADE AGGREGATE $ PED I I RETENTION$ $ WORKERS COMPENSATION I ~f~TUTE I I OTH· AND EMPLOYERS' LIABILITY ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE· EA EMPLOYEE $ If ~es, describe under D ,SCRIPTION OF OPERATIONS below E,L, DISEASE· POLICY LIMIT $ A Errors & Omissions 014629886 10/1/2023 10/1/2024 Per Claim/Aggregate $12,000,000 B Excess Errors & Omissions ELU192671•23 10/1/2023 10/1/2024 Per Claim/Aggregate $10,000,000 C Excess Errors & Omissions FI0121923 10/1/2023 10/1/2024 Par Claim/Aggregate $13,000,000 DESCRIPTION OF OPERATIONS noCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Coverage extends to: Gallagher Benefit Services, Inc. Koff & Associates 2835 Seventh Street Berkeley, CA 94710 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy 7351 Rosanna Street ACCORDANCE; WITH THE POLICY PROVISIONS. Gilroy CA 95020 AUTHO IZED REPRESENTATIVE USA /f,~JL_j;t_ I © 1988•2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD r-\1 ILi !YI V• -vllHAt:jl 1'-'1 I '\IVI'\ IVl\.-1111,.4~'-'11 IVI l\. -VI YIVV'-'J ...., __ 300 S Riverside Plaza, Suite 1500 Chicago IL 60606 MDG2023 00009181 01 11 1 •11•11 111,ll,,,ll,lll111•1ll1l1ll11 1 11 1 •1 ••1 11 •1•1•1 1 11 11 •1•1 1 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 We are providing you with a Certificate of Insurance confirming our client's coverage. Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance for our client? Please contact us at COI.UpdateMyEmail@AJG.com and provide the following information for processing: 1. Confirmation that a certificate of insurance is no longer required; or 2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery 3. Insured Code: ARTHJGA113 4. This Certificate Number: 1751980103 To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at www.ajg.com/us/about-us/how-we-work/core-360. Gallagher does not share your e-mail as detailed in our privacy policy found at https:// www.ajg.com/us/privacy-policy/. ' [I t'1~;1t, ~ * * 0. (fJ 0 cxi 0 cxi § 0 5 0 ;