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COI - Mission City Express, Inc. - Expires 2024-04-01.4k o_RO0 CERTIFICATE OF LIABILITY INSURANCE DIY DATE030'D023YYY) 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 Aon Risk Services Central, Inc. Chi ca o IL Office 200 East Randolph Chicago IL 60601 USA CONTACT NAME: (A/ CC.NNo. Ext): (866) 283-7122 FAX (Soo) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Mission City Express, Inc. 748 5. Hillview Drive Milpitas CA 95035-5455 USA INSURER A: Zurich American Ins Co 16535 INSURERB: XL Insurance America Inc 24554 INSURERC: INSURER D: INSURER E: INSURER F: CERTIFICATE NUMBER: 570098173705 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. Limits shown are as requested INER LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY El-F (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL0547092011 04/01/2023 04/01/2024 EACH OCCURRENCE 52,000,000 CLAIMS -MADE I X I OCCUR DAMAGE 1 O RENTED PREMISES (Ea occurrence) $500, 000 MED EXP (Any one person) 810,000 PERSONAL & ADV INJURY S2,000,000 GEN'LAGGREGATE POLICY X OTHER: LIMIT APPLIES PRO - PER: LOC GENERALAGGREGATE S4,000,000 PRODUCTS - COMP/OPAGG S4,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED -SCHEDULED _ AUTOS NON -OWNED AUTOS ONLY BAP 5470921-11 04/01/2023 04/01/2024 COMBINED SINGLE LIMIT (Ea accident) 52 , 000 , 000 BODILY INJURY( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE U500116812L123A 04/01/2023 04/01/2024 EACH OCCURRENCE S5,000,000 AGGREGATE $ 5 , 000, 000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR / PARTNER, EXECUTIVE Li OFFICERMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER STATUTE OTH- ER E.L.EACHACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT 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 in accordance with the policy provisions of the General Liability and Automobile Liability policies. CERTIFICATE HOLDER D CANCELLATION city of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA MAR 2 0 2023 GILROY CITY CLERK'S OFFICE 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 Holder Identifier :ABJ 570098173705 Certificate No 000000 03 12 000220 001707 P ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD