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Home My WebLink AboutCOI - American Transport, Inc. - Expires 2023-04-01AWR CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 DATE (MMIDD/YYYY) 03/28/2022 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, certaln policies may require an endorsement. A statement on thls certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCEillis R era Watson N1i i=' a • . ® . PHONE Willis-77 p945 -7 WatsonCertificate IR ' aers Centr dwelt, Inc. `V%�� ,✓ r-� 37$ I (�C,No): 1-888�4G7-Z37B Eicat.es@wL1lis.com Nashville, TN 372305191 USA NAICP o/a 26 Century Blvd INSURED American Transport, Inc.; ATI Trucking, 6roap, LLC 100 Industry Drive Pittsburgh, PA 15275 GILROY-CITY CLERK'S OFFICE LC.; Aliioesd8ti 0,:4 .u.y..«6. INSURER A: RLI INSURER B INSURER C : INSURER D INSURER E INSURER, F INSURER(9) AFFORDING COVERAGE Insurance Company 13056 COVERAGES CERTIFICATE NUMBER: P124296371, 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 OTFIER, DOCUMENT WITH RESPECT TO WFIICH TI•IIS 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 10LICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BFFY "AID CLAIMS. A.EILIR TYPE OF INSURANCE INSti BWVVD POLICY NUMBER (MM/DDYYFYV) (MM/D� YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE I.X .I OCCUR GE_N'L AGGREGATE LIMITAPPLIES PER: ,..POLICYI r [XILOC OTHER: l AUTOMOBILE LIABILITY X ANY AUTO A X OWNED AUTOS ONLY x HIRED AUTOS ONLY UMBRELLA LIAB EXCESS LIAR SCHEDULED Y AUTOS NON -OWNED AUTOS ONLY DED I I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AN YPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMB'EREXCLUDED? (Mandatory In NH) II yes, describe under DESCRIPTION OF OPERATIONS boiow OCCUR CLAIMS•MADE Y/N N/A EACH OCCURRENCE $ 1,000,000 DAMAGE TO RLN1 tD ._PRgMISES•(Ean currgllce,)_._ $ ...•_.__._•.. MED EXP (Any ono person) $ 5, 000 L61,0012093 04/01/2022 04/01./2023 PERSONAL ,&ADVINJURY $ 1,000,000 GENERALAGGFIEGATE $ 1,000,000 PRODUCTS • COMP/OP AGOM $ 1,000,000 $ C_CI MBINED SINGLE LIMIT $ 1, 000, 000 BODILY INJURY (Per person) $ LVT0013313 04/01/2022 04/01/2023 BODILY INJUr7Y(Per acoWent) $ PROPERTY DAMAGE $ Jper eueldpn EACH OCCURRENCE AGGREGATE STATUTE I I EERH E.L. EACH ACCIDENT $ EL, DISEASE • EA EMPLOYEE $ E.L. DISEASE • POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached II moro'spaoe la required) CITY OF GILROY I6 ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OH' GILROY ATTN: PUBLIC WORKS DEPT 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name end logo are registered (narks of ACORD OR ID: 22360705 BSTc0: 2464298 2of5 10084 Policy Number: LGL0012093 RLI Insurance Company THIS ENDORSEMENTCHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT. This endorsement modifies insurance provided under the following: TRUCKERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM GENERAL LIABILITY COVERAGE FORM EXCESS INDEMNITY COVERAGE FORM MOTOR TRUCK CARGO COVERAGE FORM COMMERCIAL EXCESS LIABILITY POLICY MOTOR CARRIER QOVERAG FORM The provisions of the Coverage Form apply unless modified by this endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 04/01/2022 Named Insured: American Transport, Inc.; ATI Trucking, LLC; American Wind Transport Group f LLC Additional Insured shall include any organization where shown on a Certificate of Insurance or to whom the Named Insured is obligated by virtue of a written contract or agreement to provide insurance but only as respects the operations of the Named Insured, ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. TRS 601 (11/06) Page 1 of 1 Policy Number: LFT0013313 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following.: TRUCKERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM GENERAL LIABILITY COVERAGE FORM EXCESS INDEMNITY COVERAGE FORM MOTOR TRUCK CARGO COVERAGE FORM COMMERCIAL EXCESS LIABILITY POLICY MOTOR CARRIER COVERAGE FORM The provisions of the Coverage Form apply unless modified by this endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 04/01/2022 Narned Insured: American Transport, Inc.; ATI Trucking, LLC; American Wind Transport Group, LLC Additional Insured shall include any organization where shown on a Certificate of Insurance or to whom the Named Insured is obligated by virtue of a written contract or agreement to provide insurance but only as respects the operations of the Named Insured, ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. TRS 601 (11/06) Page 1 of 1 3ofti 10084