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Home My WebLink AboutCOI - Allied Universal Topco, LLC - Expires 2025-01-01ACORD® CERTIFICATE OF LIABILITY INSURANCE TE D 2/22/2023D/YYYY) 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 MARSH USA LLC 1717 Arch Street Philadelphia, PA 19103 Attn: Philadelphia.certs@marsh.com / Fax: (212) 948-0360 CN118025105-ALL-STAND-24-25 CONTACT Marsh I U.S. Operations PHONE AIC o, Exti: 866-966-4664 FAX No): E-MAIL Philadel hia.Certs marsh.com ADDRESS: p @ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Indian Harbor Insurance Company 36940 INSURED Allied Universal Topco, LLC (See Attached for Additional Named Insureds) 161 Washington Street, Suite 600 Conshohocken, PA 19428 INSURER B : Greenwich Insurance Company 22322 INSURER C : XL Insurance America 24554 INSURER D : Indemnity Insurance Company of North America 43575 INSURER E : XL Specialty Insurance Company 37885 INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-006871793-12 REVISION NUMBER: 3 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY RES943799404 01/01/2024 01/01/2025 EACH OCCURRENCE $ 30,000,000 DAMAGE RETED PREMISESO(Ea occurrence) $ 30,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ X CONTRACTUAL LIABILITY PERSONAL & ADV INJURY $ 30,000,000 X SIR $1,750,000 GENERAL AGGREGATE $ 55,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT X PER: LOC PRODUCTS - COMP/OP AGG $ 55,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS NON -OWNED AUTOS ONLY RAD943781807 01/01/2024 01/01/2025 COMBINEDt) SINGLE LIMIT $ 5,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE XSM G72500027 004 Excess of General Liability, Auto Liability, and Workers' Comp 01/01/2024 01/01/2025 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ DED RETENTION $ C C E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A RWD300120308(AOS) RWR300120408 (WI) RWE943548208(CA, OH)01/01/2024 01/01/2024 01/01/2024 01/01/2025 01/01/2025 01/01/2025 x PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ A Professional Liability RES943799404 SIR: $1,750,000 01/01/2024 01/01/2025 Claim Aggregate 2,000,000 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy is included as additional insured (except workers' compensation and crime) where required by written contract. Liability coverage shall be primary and non-contributory where required by written contract Waiver of subrogation is applicable where required by written contract. CERTIFICATE HOLDER CANCELLATION City of Gilroy Attn: Bill Headley 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 2€ "r4 /Ir -'4',L -cysa, ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN118025105 LOC #: Philadelphia A " L)R ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH USA LLC POLICY NUMBER CARRIER NAIC CODE NAMED INSURED Allied Universal Topco, LLC (See Attached for Additional Named Insureds) 161 Washington Street, Suite 600 Conshohocken, PA 19428 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Excess Workers' Compensation Policy No.: RWE943548208 Insurer: XL Specialty Insurance Company Effective Dates: 1/1/2024 -1/1/2025 Limit: Employers Liability Each Accident: $1,000,000 Employers Liability Disease -Policy Limit: $1,000,000 Employers Liability Disease -Each Employee: $1,000,000 SIR: $1,000,000 Crime Policy No.: 03-824-02-02 Insurer: National Union Fire Insurance Co. Effective Dates: 08/15/2023 - 08/15/2024 Limit: Employee Theft or Dishonesty: $2,000,000 Clients' Property: $2,000,000 Deductible: $750,000 Contractors Pollution Liability Policy No.: CP013303734 Insurer: Commerce and Industry Insurance Company Effective Dates: 01 /01 /2023 - 01 /01 /2025 Limit: 5,000,000 Deductible: $250,000 The General Liability and Professional Liability policies evidenced above share in the limits shown. The limits do not apply separately to the individual coverages ACORD 101 (2008/01) 0502-01.00-0001606.0002.0003456 © 2008 ACORD CORPORATION. All rights 1 The ACORD name and logo are registered marks of ACORD a sh Dear Certificate Holder: To streamline certificate delivery for our clients and in an effort to support our firm's commitment to sustainability, going forward, we will only be providing. renewal .certificates of insurance electronically. if you need to continue receiving a copy of the attached certificate, please send an email to USOperations.ernail@marsh.com and include the following: -- Certificate # (Shown below Insured Name — e.g., ABC-123456789-01) -- E-Mail for future delivery For your convenience, If we do not receive your response, we will conclude that you no longer require proof of insurance from the named insured and will remove you from our records. Thank you, US Operations, Marsh USA, LLC A bUSintn Of Mitts:b