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COI - Mountain Cascade, Inc. - Expires 2022-10-01MOUNCAS-01 TTAGANAP CERTIFICATE OF LIABILITY INSURANCE DATE (MMI AE(MMI o21 Y) 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 License # OC36861 CONTACT Laurie Phirippidis NAME: Alliant Insurance Services, Inc. PHONE FAX 100 Pine St 11th FI (AIC, No, Ext): (415) 403-1449 (A/C, No):(415) 874-4818 San Francisco, CA 94111 E-MAIL SS:lphirippidis@alliant.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Old Republic General Insurance Corporation 24139 INSURED INSURER B : Mountain Cascade, Inc. INSURER C : 555 Exchange Court INSURER D : Livermore, CA 94551 INSURER E INSURER F : rn%/CRArI=C r=0TIC11'%ATC Kit IU12=0- OM/MinAI Al11M121=0• 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 AN DL SUBR SD WVPOLICY NUMBER POLICY EFF POLICIDDIYYYY1DY EXP LTRA LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR X A1CGO6911808 10/112021 1011/2022 DAMAGE TO RaN T ante) PREMISEMED S 100,000 6,000 EXP (Any one person) S 2,000,000 PERSONAL & ADV INJURY S 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY X JrCT LOC PRODUCTS - COMP/OP AGG S 4,000,000 OTHER: S A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 2,000,000 S X ANY AUTO Al CA06911808 10/1/2021 10/1/2022 BODILY INJURY (Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS SSyy BODILY INJURY (Per accident) S Ep X AUTOS X ARTOS (Pe�acc tl nt�AMAGE ONLY ONLY $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ S WORKERS COMPENSATION PER H STATUTE ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ FFICR/M OEq EXCLUDED? N / A NH) (MandatoryE.L. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: Transportation Permits; City of Gilroy is added as additional insured as respects to General Liability per endorsements attached. City of Gilroy 7361 Rosanna Street Gilroy, CA 95020 100z1y44I_11110111 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 - 'L_ ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: Al CGO6911808 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanization(s) I Location(s) Of Covered Operations WHERE REQUIRED BY WRITTEN CONTRACT. ALL LOCATIONS WHERE REQUIRED BY WRITTEN CONTRACT. Fin —formation required to complete this Schedule, if not shown above, will be shown in the Declarations. A. 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts 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(s) at the location 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. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall applicable limits of insurance. not increase the Page 2 of 2 0 Insurance Services Office, Inc., 2018 CG 2010 12 19 POLICY NUMBER: AlCG06911808 COMMERCIAL GENERAL LIABILITY CG20371219 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations WHERE REQUIRED BY WRITTEN CONTRACT, BUT ONLY WHERE THE CONTRACT SPECIFIES COVERAGE FOR COMPLETED OPERATIONS. ALL LOCATIONS WHERE REQUIRED BY WRITTEN CONTRACT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. 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 in 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". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 3712 19 ©Insurance Services Office, Inc., 2012 Page 1 of 1 TRANINC-04 BEICIRD ,a�oizo CERTIFICATE OF LIABILITY INSURANCE DATE 1 9123120221 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 PRODUCER alnam Alliant Insurance Services, Inc. PHONE FAX INC. No, Eat): (509) 343-9221 INC. No):(509) 325-1803 818 W Riverside Ave Ste 800 Spokane, WA 99201 ADDRESS: Lisa.Tatham@alliant.com _ INSURERLSA AFFORDING COVERAGE _ NAIC0 _ INSURERA: Navigators Specialty Insurance Company 36056 _ INSURED Trans -System, Inc INSURER13:Lexington Insurance Company 19437 System Transport, Inc. INSURER C : T W Transport, Inc. INSURER D : P O Box 3456 Spokane, WA 99220 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE 'ADDLSUBR POLICY NUMBER POLICY EFF POUCYEXP L.LIMBS A X _ COMMERCIAL GENERAL LIABILITY EACH 1,000,000 CLAIMSMADE I� OCCUR H021CGLO955211C 10/1/2021 _ 1011/2022 PREMSESEaEmu _$_ 50,000 X ence). $ X Blanket Add'I Insult 5,000 MED EXPAnY one person,)_ $ X CG20107104 1,000,000 PERSONALSADVINJURY. _$ GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I. JEqOT ^J LOC 2,000,000 PRODUCTS - COMP/OP AGG $ OTHER COMBINED SINGLE LIMIT (Ea accident) f AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AU�ppT��O��S ONLY AUTµOSW HOD I LY INJURY (Per accident) $ p AUTOS AUTOS (P., PROPERTY ONLY ON V $ UMeRELLAL OCCUR EACH OCCURRENCE $. EXCESS LIAB CLAIMS -MADE AGGREGATE $. DEC) RETENTION$ A WORKERS COMPENSATION PER X OTH- ER AND EMPLOYERS' LIABILITY YIN H021CGL0955211C 1011/2021 _ _.STATUTE 10/1/2022 _ _ 1'ODO'000 ANYPROPRIETORIPARTNERIEXECUTIVE �MenOEI%MEV EXCLUDEDP I N/A E.L. EACH ACCIDENT _ S 1,000,000 NH) E.L. DISEASE - EA EMPLOYE $ It es, dcscdbe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT B Motor Truck Cargo 066095457 1011/2021 10/1/2022 I$500,000 Limit DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Rereerb Schedule, nu aarecited IT apace lc required) City of Gilroy is an additional insured as their interest may appear per policy form attached. City of Gilroy Attn: Engineering Division 7351 Rosanna St 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. ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD