COI - American Heavy Moving and Rigging, Inc. - Expires 2022-06-27OMFI-IF-'A
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ACORD' CERTIFICATE OF LIABILITY INSURANCE
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DATE(MMIDDIYYYY)
1 06/25/2021
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 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 909-980-4211
Silverstone Insurance Services
Advantage Insurance
PO Box 1200
CONTACT
NAME:
PHONE 909-980-4211 FAX
(AIC, No, Ext): (A/C, No):
EMAIL sarah@silverstoneins.com
ADDRE S:
Rancho Cucamonga, CA 91729
Robert W. Young
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: National Interstate Ins. Co.
32620
INSURED
American Heavy Moving
and Ri ginpg , Inc.
1391 East Philll s Blvd.
Pomona, CA 91766
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F
CnVFRonFS CFRTIFICOTF NIIMRFR- RFVISInN 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.
INSR LTR
TYPE OF INSURANCE
ADDL
SUBR;
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTEDI PREMISES (Ea occurrence)
$
MED EXP (Any one erson
$
PERSONAL & ADV INJURY $
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
U JECT �
OTHER:
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG
$
A
'AUTOMOBILE LIABILITY
AUTO
AUTOS ONLY X AUTOSULED
X AUTODS ONLY X AUTOS ONLY
CRAS50007602
1
06/27/2021
06127/2022
COMBINED SINGLE LIMIT
(Ea accident)ANY
$ 1,000,000
BODILY INJURY Per erson
$
BODILY INJURY Per accident
$
Perr aCclderl DAMAGE
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
i
AGGREGATE $
I
DED RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNERIEXECU I IVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA'
i
PER ! OTH-
ISTATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
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:Informational Purposes Only.
*10 days notice of cancellation in the event of non-payment of premium.
*30 days written notice for policy cancellation.
CITYGIL
City of Gilroy
7351 Rosaanna 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.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD