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HomeMy WebLinkAboutCOI - Panther Plumbing, Inc. - Expires 2024-03-01ACOR®® 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. The ACORD name and logo are registered marks of ACORD