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Home My WebLink AboutCOI - Performance Transport - Expires 2027-01-01A�o ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDfYYYY) 12/31/2025 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 1-801-505-6500 Brown & Broom Insurance SerVLCes, Ina. 257 East 200 South Suite 700 Salt Lake City, UT 84111 USA CONTACT NAME: Jennifer Stires PHONE 8015056500 iFAX 801-505-fi501 iAjc No an., IAJC No): EMAIL AODREss, jennifer,stires@bbrown.com INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:NATIONAL INTERSTATE INS CO 32620 INSURED PerfOrmanl:e Transport 11408 Cactus Avenue Bloomington, CA 92316 USA INSURER B: StarStone National Insurance Company 25496 INSURER C: INSURERD: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 752508509 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. €NSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMM/DDjYYYY) POLICY EXP (MM1DO/YYYY) LIMBS A X COMMERCIAL GENERAL LIABILITY SCG 0000509-08 01/01/26 01/01/27 EACH OCCURRENCE $ 1,000,000 _ CLAIMS -MADE X jOCCUR DAMAGE TO RENTED PREMISES{Ea occurrence) $ 100,DOD MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; GENERALAGGREGATE $ 2,000,000 X POLICY J _J 7ER0 J LOC PRODUCTS -COMP/OPACG $ 2,000,000 OTHER" $ A AUTOMOBILELIABILITY SCR 0000509-08 01/01/26 01/01/27 COMBINED SINGLE LIMIT {Ea accident $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ — DWNEO AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS ONLY ...— NON -OWNED AUTOS ONLY PROPERTY DAMAGE Lr accident) $ B UMBRELLA LIME! X!OCCUR AX000905994P-00 01/01/26 01/01/27 EACH OCCURRENCE $ 1,000,000 X EXGESS LIAR 'CLAIMS -MADE AGGREGATE $ 1, 040, 000 DED I I RETENTOi1$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I PER STATUTE OTH- ER ANYPI1OPRrTORjPARTNER/EXECIJTIVE �, i N N EACH ACCIDENT ------------- OFFICERIMEMBEREXCLUDED7 (Mandatory in NH) N!AE.L. E.L DISEASE - EA EMPLOYEE $ II yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Motor Truck Cargo CRC 5500509.0E 01/01/26 01/01/27 $10,000 Ded 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mare space Is required) City of Gilroy is listed as additional insured in regards to the general /lability and auto liability policies per the attached forms. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 USA 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 ;7J— ACORD 25 (2016)03) .TStires 752506509 O 198E-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENV 24642