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HomeMy WebLinkAboutCOI - Arther J Gallagher & Co and its Subsidiaries - Expires 2024-10-01 (2)ACORD® 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(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 CONTACT NAME: Arthur J. Gallagher Risk Management Services, LLC FA)8~Jo.,J;xt\: 312-704-0100 I FAX 300 S Riverside Plaza STE 15 0 IA/C Nol: 312-803-7443 Chicago IL 60606 i#D~~SS: INSURE:R/Sl AFFORDING COVERAGE NAIC# INSURER A: Lexinoton Insurance Companv 19437 INSURED ARTHJGA113 INSURER a: XL Specialty Insurance Company 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: 807727527 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. INSR TYPE OF INSURANCE ~-~"°~~~~ LTR POLICY NUMBER 1&2hl17l/./'vi l~gT6%M~ LIMITS COMMERCIAL QENERAL LIABILITY EACH OCCURRENCE $ -=:J CLAIMS-MADE □ OCCUR ~~~b~i~ YE~"d~~!~ence\ -$ -MED EXP (Any one person) $ PERSONAL & ADV INJURY $ - GEN'L AGGREGATE! l,,IMIT APPLIES PER: GENERAL AGGREGATE $ H POLICY □ :ms'r □ LOO PRODUCTS • COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY YE~~~h~~~llNGLE LIMIT $ ~ ANY AUTO BODIL y INJURY (Per person) $ --OWNED --SCHEDULED BODILY INJURY (Per accident) $ f---AUTOS ONLY f---AUTOS HIRED NON-OWNED rte?~~c%1e~t?AMAGE $ f---AUTOS ONLY f---AUTOS ONLY $ UMBRELLA LIAB HOCCUR EACH OCCURRENClc: $ t--- EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ WORKERS COMPENSATION I PER I I OTH· AND EMPLOYERS' LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE □ NIA E.L, EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E,L. DISEASE· EA EMPLOYEE $ ~~;t~~tf[~~ ~id;rPERATIONS below E,L, DISEASE• POLICY LIMIT $ A Errors & Omissions 016466449 10/1/2022 10/1/2023 Per Claim/Aggregate $12,000,000 B Excess Errors & Omissions ELU185304-22 1011/2022 10/1/2023 Per Claim/Aggregate $10,000,000 C Excess Errors & Omissions FI0121922 10/1/2022 10/1/2023 Per Claim/Aggregate $13,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS/ 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 ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 zz:::S:;E USA I © 1988·2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher Risk Management Services, LLC 300 S Riverside Plaza, Suite 1500 Chicago IL 60606 MPG2023 00009650 01 11 II I 1 11 1 I I I,, I 11 1 • 11 I I I I I I h I 11 111 111 I I 11 111 •I' I• I, I, 111 I 1 11 I I I I 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: WJ 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: 807727527 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-pol icy/. * *