First Capitol Auction Cert. of LiabilityCERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
05/17/2023
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
McGriff Insurance Services, LLC
P.O. Box 10265
Birmingham, AL 35202
CONTACT Bridgette Taul
NAME:
aC No Ext : 1-800-476-2211 aC No
E-MAIL ADDRESS: btaul m riff.com
INSURER(S) AFFORDING COVERAGE
NAIC N
INSURER A :Lexington Insurance Company
19437
INSURED
First Capitol Auction
50 Solano Avenue
Vallejo, CA 94590
INSURER B :Hartford Fire Insurance Company
19682
INSURER C :Trumbull Insurance Company
27120
INSURER D :Hartford Accident and Indemnity Company
22357
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:J3PKNRZ9 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
LTR
TYPE OF INSURANCE
ADDL
INSD
UBR
WVD
POLICY NUMBER
POLICY EFF
MM/DDNYYY
POLICY EXP
MM/DD/YY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
013136094
06/01/2023
06/01/2024
EACH OCCURRENCE
$ 5,000,000
CLAIMS -MADE FKOCCUR
PREMISES EaEoccu ence
$ 3,000,000
MED EXP (Any one person)
$ N/A
PERSONAL & ADV INJURY
$ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 10,000,000
PRODUCTS - COMP/OP AGG
$ 10,000,000
PRO LOC
JECT
$
NPOLICY
OTHER:
B
AUTOMOBILE LIABILITY
21CSES27903
06/01/2023
O6/01/2024
COM BINED SINGLE LIMIT
Ea accident
$ ) 5,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
ROa RTY DAMAGE
(Per
$
$
UMBRELLA LIAB
OCCUR
\
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I RETENTION $
$
C
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
21WNS27900(AOS)
21XWES27902(AL,M0,NC)
06/01/2023
06/01/2024
X PER STATOT UTE
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N/A
- -
E.L. DISEASE -POLICY LIMIT
$ i,00 0;000
If Ves,-desc ibe under - - - - - -
DESCRIPTION OF OPERATIONS below
- —
--
- - _ --- - -- --
-
- - -
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate Holder is Additional Insured under General Liability and Automobile Liability as required by written contract.
f`CQT=t%AT= 1.1ni nFR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Campbell
City Redevelopment Agency, its officers, volunteers & employees
AUTHORIZED REPRESENTATIVE
70 N First St.
�/ )
Campbell, CA 95008
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