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CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
10/4/2023
PRODUCER (925) 297-4070 FAX: (925) 297-4074
Mt. Diablo Insurance Brokers, Inc.
3557 Mt. Diablo Boulevard
Suite 21
Lafayette CA 94549
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Panther Plumbing, Inc.
PO Box 2083
Gilroy
CA 95021-2083
INSURER A: Houston Specialty Insurance
12936
INSURER B: Oregon Mutual Insurance Company
INSURER C: Employers Preferred Ins. Co.
14907
10346
INSURER D:
INSURER E:
E
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 CONTRACTOR OTHER DOCUMENT WTH 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADD'L
NSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDWYYY)
POLICY EXPIRATION
DATE (MM/DDIYYYY)
LIMITSLTR
A
X
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
VICP023330
3/1/2023
3/1/2024
EACH OCCURRENCE
$ 1,000,000
X
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$ 100,000
CLAIMS MADE X OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL&ADVINJURY
$ 1,000,000
$ 2,000,000
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
X
POLICY JEa n LOC
B
-
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CM0919802
3/1/2023
- ---
-
3/1/2024
-..
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000, 000
X
BODILY INJURY
(Per person)
$
X
BODILYINJURY
(Per accident)
$
_..
X
PROPERTY DAMAGE
(Per accident) -
$
- -
GARAGE
LIABILITY
ANY AUTO
- -
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESS / UMBRELLA LIABILITY
_
-
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
$
$
C
WORKERS
AND EMPLOYERS'
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER
(Mandatory
If yes, describe
SPECIAL PROVISIONS
COMPENSATION
LIABILITY Y / N
E10509015401
10/1/2023
10/1/2024
WC STATU- OTH-
}[ TORY LIMITS ER
E.L. EACH ACCIDENT
$ 1,000,000
EXCLUDED?
in NH)
E.L. DISEASE - EA EMPLOYEE
1,000,000
under
below
E.L. DISEASE - POLICY LIMIT
.$
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
The City of Gilroy, its officers and employees are included as additional insured, but only as respects liability
arising from named insureds operations. Additional insured endorsement is attached hereto.
Job: 7370 Rosanna Street Gilroy, CA
CERTIFICATE HOLDER
CANCELLATION
City of Gilroy
Insurance Department
7351 Rosanna Street
Gilroy, CA 95020
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENaWAYOUIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L�E�T,, ]!.IXXXI j]%�( 1 1(�(, ,i}(-L
lXit i(1�O lgAVXAMIXI1ii7/YC IYAXl lXII [FI,VISXMOKYCXX-S R
)(40(eXaMAXIM.
AUTHORIZED REPRESENTATIVE
Robert Salvo/BECKY
ACORD 25 (2009/01)
INS025 (200901).01
01988-2009 ACORD CORPORATION. All rights reserved.
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