Loading...
COI - Tiger Tanks Inc. - Expires 2022-11-19AC �JR�® CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDlYYYY) 11111/2021 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 pollcy(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 Kern Insurance Associates License # OL78680 P.O. Box 11390 Bakersfield CA 93389-1390 CONTACT Verenice Valdez NAME: PHONE (661) 8354542 FAX (661) 8354500 AIC No Ext : AIC No): ADDRESS: vaidez@kemins.com INSURER(S) AFFORDING COVERAGE NAIC A INSURERA. STICO Mutual Insurance Company RRG 10476 INSURED Tiger Tanks Inc. 3397 Edison Highway Bakersfield CA 93307 INSURER B : Insurance Company of the West 27847 INSURER C : Century Surety Co 36951 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 21-22 ALL 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. LTR TYPE OF INSURANCE INSD WNVD POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE FX-1 OCCUR DAMAUE TO PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY S 3,000,000 A Y 1-GLR000102-22 11/19/2021 11/19/2022 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY JE O- LOC PRODUCTS - COMP/OPAGG $ 3,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ s B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? D (Mandatory in NH) N ! A WSA505849500 01/01/2021 01/01/2022 X STATUTE ERPER H E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Motor Truck Cargo CCP924874 12/17/2020 12/17/2021 Per Conveyance/$25,000 Coduct/1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy is additional insured per attached form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 51&4W ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD Pol icy Number: I-GLR000102-22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION. This endorsement changes the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Name of Person or Organization: Any Company or Organization when required by written contract. Project: Any Project when required by written contract. (If no entry appears above, information needed to complete this endorsement will be shown in the Declarations part as applicable to this endorsement) A. Section II — Who is an Insured is modified to include as an insured the person or organization shown in the schedule above, but only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part by; 1. Your acts or omissions; or 2. The acts or omission of those acting on your behalf; In the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. A. With respect to the insurance allowed to these additional insureds, the following exclusion is added: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including, parts, materials or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured or insureds at the site of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Authorized Representative GLE2010 — STICO 0718 STICO Mutual Insurance Company, RRG Policy Number: I-GLR000102-22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any Company or Organization when required by written contract. Location and Description of Completed Operations: Any Project when required by written contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II — Who is an Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "Bodily Injury" or "Property Damage" caused, in whole or part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products completed operations hazard". Authorized Representative GLE2037 — STICO 0712 STICO Mutual Insurance Company, RRG