COI - Trans-System, Inc - Expires 2021-10-01TRANINC-04 DOORMADI
CERTIFICATE OF LIABILITY INSURANCE DATE(MdIUDarYYY1)
9/30/2020
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 endorsements)
PRODUCER CoN ACT Lisa Tatham
Alliant Insurance Services, Inc. P ONEFAX— — -
818 W Riverside Ave Ste 800 SEES&
No, Ext): (509) 343-9221 _ 1 , Na (509 325-1803_
Spokane, WA 99201 Lisa.Tatham@alliant.com
_ INSURER(S) AFFORDING COVERAGE _ _ NAI_C 0
INSURER A: Navigators Specialty Insurance Company__ 36055
INSURED Trans -System, Inc LNsuRERB Lexington Insurance Company— _- — 19437
System Transport, Inc. INSURER C :
T W Transport, Inc. I� RER D : -- --- - — - - —
P O Box 3455 NSU- — ---- — — - - —
Spokane, WA 99220 INSURER E—
INSURER F
C`_AVl=0An=Q nen�lrinwrr wa■wow_ - - - -
- - RCYIalUN NUMCicm;
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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP
-LIRink WVD POLICY NUMBER LIMITS
A
X
COMMERCIAL GENERAL LWBILnY
1,000,000
CLAIMS -MADE [ OCCUR
X
H020CGLO955211C
1011/2020
10/1/2021
EACH OCCURRENCE
DAMAGE TO RENTED
50,000
X
Blanket Add'i Insd
-PREoxurr�noe)
— -
X
— -- --
CG2010 7104
MED EXP.(Any one person)-
5,000
$ _ _
— — —
-PERSONAL SADV INJURY—
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY L 1 J>gCT �) LOC
_GENERAL AGGREGATE —
$ 2,000,000
—
PRODUCTS - COMPfOP AGG
$ 2,000,000
— -
OTHER:-
-- -
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
-(Ea-accident)-- — _ -
$
ANY AUTO
— -
-
OWNED SCHEDULED
BODILY INJURY (Per arson) _
-
$
AUTOS ONLY AUTOS
BODILY INJURY (Par accident)
$
— _
yy p
AUTOS ONLY AUTOS ONY
lOPERTY AMAGE
Per aocident3
$ - — —
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
EXCESS LIAB CLAIMS -MADE
— - -
-
- -- -- - -- —
AGGREGATE - —
OED RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY
IPTER X ER
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N
I FFICER/MEMNH) EXCLUDED? [
Mandatory in
NIA
H020CGLO955211C
10/1/2020
10/112021
_
E L. EACH ACCIDENT
_ _
$ 1,000,000
I
If es, describe under
under
E.L. DISEASE - EA -EMPLOYEE
— --
1,000,000
$ _ _
—
B
DSCRIPTION OF OPERATIONS below
Motor Truck Cargo
066095457
E.L. DISEASE - POLICY LIMIT
S 1,000,000
10/112020
10/1/2021
$500,000 Limit
DESCRIPTION OF OPERATIONS r LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
City of Gilroy is an additional insured as their interest may appear per policy form atfached.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Engineering Division ACCORDANCE WITH THE POLICY PROVISIONS.
7351 Rosanna St
Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE
I1VVnLJ LJ tLV 1 V/YJ� 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD