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COI - De Paoli Equipment, Inc. - Expires 2022-04-01ACC:W'go CERTIFICATE OF LIABILITY INSURANCE kls.,,,.. DATE(MM/DD/YYYY) 3/30/2021 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 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 Noble West Insurance Services, Inc. 205 Natoma St Folsom CA 95630 License#: 0310706 CONTACT PHONE FAX (A/C No Ext): (A/C, No): E-MAILDSS: Certificates@noblewest.net PRODUCER DEPAOLIE-1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED De Paoli Equipment, Inc. PO Box 907 Livermore CA 94551 INSURER A: Great West Casualty Co. 11371 INSURER B : State Compensation Ins Fund 35076 INSURER C: Travelers Insurance Group 25682 INSURER D: Golden Bear Ins. Co. #39861 39861 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 936891184 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 INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR Y GWP93311J 4/1/2021 4/1/2022 EACH OCCURRENCE $ 1,000,000 PRS (RENTED PREMISES (Ea occurrence) $100,000 CLAIMS -MADE MED EXP (Any one person) $ 5,000 GEN'L PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- • IFCT $ A AUTOMOBILE X X X LIABILITY GWP93311J 4/1/2021 4/1/2022 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE GBX3271601 4/1/2021 4/1/2022 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 D DEDUCTIBLE RETENTION $ $ $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A 91282852021 4/1/2021 4/1/2022 X WC STATU- OTH- DORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POLICY LIMIT $1 000 000 C A Cargo- Broad Form Bailee (Non -Owned Trailer QT6601787N897TIL21 GWP93311J 4/1/2021 4/1/2021 4/1/2022 4/1/2022 $1,000,000 $5,000 Ded. $50,000 $1,000 Ded. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) Evidence of insurance. Certificate holder is named as additional insured with respects to general liability. CERTIFICATE HOLDER CANCELLATION I City of Gilroy Public Works Dept. 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 ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD