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HomeMy WebLinkAboutCOI - Combined Transport, Inc. - Expires 2023-05-31ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/01/2022 PRODUCER American Trucking and Transportation Ins. Co., a Risk Retention Group P.O. Box 8509 Missoula, MT 59807-8509 (406) 523-3934 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Combined Transport, Inc. Cardmoore Trucking Ltd. Partnership P.O. Box 3667 5656 Crater Lake Avenue Central Point, Oregon 97502 OVERAG INSURER A: American Trucking and Transpor Company Risk Retention Group 11534 INSURER B: N/A MAY 2 3 2022 INSURER C: N/A , GILROY CITY CLERK'S OFFICE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD GENERAL TYPE OF INSURANCE LIABILITY COMMERCIAL GENERAL LIABILITY POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS OCCUR MADE MED EXP (Any one person) $ GEN'L PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOG PRODUCTS - COMP/OP AGG $ ' A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TRAILER INTERCHANGE ATTCTI122 06/01/2022 05/31/2023 COMBINED SINGLE LIMIT (Ea accident) $5 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA AUTO ONLY: ACC $ AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETARY/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STATU- 0TH- TORY LIMITS ER E,L, EACH ACCIDENT $ E,L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Other CARGO LIABILITY ATTCTI122 06/01/2022 05/31/2023 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS THE OPERATIONS OF THE NAMED INSURED UNDER THE AUTO LIABILITY POLICY COVERAGE AS REQUIRED SUBJECT TO THE POLICY TERMS, LIMITS, CONDITIONS, EXCLUSIONS AND ENDORSEMENTS. ADDITIONAL INSURED ENDORSEMENT ATTACHED. CERTIFICATE HOLDER CANCELLATION CITY OF GILROY 7351 ROSANNA ST. GILROY, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. AUTHORIZED REPRESENTATIVEet4"(Pla ACORD 25 (2001/08) © ACORD CORPORATION 1988 insure and steady. ADDITIONAL INSURED DESIGNATION Policy Number: ATTCTI122 AMERICAN TRUCKING AND TRANSPORTATION INSURANCE COMPANY, A RISK RETENTION GROUP P.O. BOX 8509 MISSOULA, MONTANA 59807-8509 THIS POLICY IS ISSUED BY YOUR RISK RETENTION GROUP. YOUR RISK RETENTION GROUP MAY NOT BE SUBJECT TO ALL OF THE INSURANCE LAWS AND RULES OF YOUR STATE. STATE INSURANCE SOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR YOUR RISK RETENTION GROUP. This endorsement applies to the Trucking Liability Policy (hereinafter the "applicable policy") issued by ATTIC, RRG to Named Insured(s) listed below. Named Insured(s): Combined Transport, Inc.; Cardmoore Trucking Limited Partnership Policy Expiration Date: May 31, 2023 SECTION I: SCHEDULE OF ADDITIONAL INSUREDS Name(s) of Additional Insured(s): CITY OF GILROY 7351 ROSANNA ST. GILROY, CA 95020 SECTION II: COVERAGE OF ADDITIONAL INSUREDS The above named Additional Insured(s) are included as insureds to the extent of the terms, limits, conditions and exclusions of the applicable policy issued by ATTIC, RRG to the Named Insured and only to the extent the Additional Insured(s) are liable to others (and only to the extent of the actual liability, not alleged liability) for the conduct of an insured under the applicable policy. Additional insured status does not provide protection to the Additional Insured(s) for liability resulting from or alleged to result from its own actions or inactions, regardless of the existence of any contractual provision stating otherwise. The additional insured status of the above named Additional Insured(s) ceases when the Additional Insured(s) is no longer liable for the conduct of an insured or at the policy expiration date, whichever occurs first. The coverage limit provided to the named Additional Insured(s) is limited to the lesser of the limit required in any agreement between the Additional Insured(s) and the Named Insured(s) or the limits of coverage of the applicable policy issued by ATTIC, RRG. COUNTERSIGNED 06/01/2022 BY: (Date) (Authorized Representative) Additional Insured ATTIC.Addlns.1 © ATTIC, RRG, 2022 Page 1 of 1