COI - Double D Transportation Co., Inc. - Expires 2024-04-01INSR
LTR
A
ACCORD®
DATE (MM/DD/YYYY)
3/7/202
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
CERTIFICATE OF LIABILITY INSURANCE
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
Woodruff -Sawyer & Co.
50 California Street, Floor 12
San Francisco CA 94111
INSURED
Double D Transportation Co., Inc.
11555 Dublin Boulevard
Dublin, CA 94568
COVERAGES
License* 0329598
DESIGAT-01
NAME: Chris Kelley
PHONE 415-402-6521
E-MAILDRESS: ckelley
@woodruffsawyer.com
INSURER(S) AFFORDING COVERAGE
INSURER A: Greenwich Insurance Compan
FAX
No): 415-989-9923
NAIC #
22322
INSURER B : XL Insurance America Inc. 24554
INSURER C :
INSURER D :
INSURER E :
INSURER F :
CERTIFICATE NUMBER: 828705899 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.
ADDLSUBR
INSD WVD
TYPE OF INSURANCE
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
7 POLICY L 1 JEC [____, LOC
OTHER:
POLICY NUMBER POLICY EFF POLICY EXP
(MMfDD/YYY1) (MM/DD/YYYY)
CGD740946607 4/1/2023 4/1/2024
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 1,000,000
UMITS
$1,000,000
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
$10,000
$ 1,000,000
$ 2,000,000
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED ^ 7 SCHEDULED
AUTOS ONLY j AUTOS
X HIRED X i NON -OWNED
AUTOS ONLY � AUTOS ONLY
X Form MCS-90
$
CAS740946707 4/1/2023 4/1/2024
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE 5
(Per accident)
UMBRELLA LIAB
I EXCESS LIAB
OCCUR
CLAIMS -MADE
DED i I RETENT ON S
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/A
CWD740946507
4/1/2023 4/1/2024
EACH OCCURRENCE
AGGREGATE
X PER
E.L. EACH ACCIDENT
ERH
$1,000,000
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
51,000,000
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS ( VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: All Operations.
ADDITIONAL INSURED(S): City of Gilroy, it's officers, agents and employees are named as Additional Insureds. Policies contain a 30 day notice of
cancellation and a 10 day notice of cancellation for non-payment of premium.
CERTIFICATE HOLDER CANCELLATION
City of Gilroy
7351 Rosanna Street
Gilroy CA 95020-6141
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
Q{.
ACORD 25 (2016/03)
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