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HomeMy WebLinkAboutCOI - JT Martin Trucking, Inc. - Expires 2023-04-27........ JTMARTl-01 HHOES I ACORD" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) ~ 5/23/2022 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, 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 CONTACT NAME: CoreMark Insurance Services Inc. ilJg,NJo, Ext): (866) 340-2247 I riea, No):(916) 923-2797 4430 Duckhorn Drive Sacramento, CA 95834 .lhnf'J~ss: policydocs@coremarkins.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Rockinaham Insurance Companv 10214 INSURED INSURER B: Wesco Insurance Companv Inc. 25011 JT Martin Trucking, Inc. INSURER c: GuideOne National Insurance Companv 014334 P.O. Box 741 INSURER D: Preferred Professional Insurance Comoanv 36234 Winters, CA 95694 INSURER E: The Ohio Casualtv Insurance Companv 24074 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF ,~2riiilv~, LIMITS LTR ""'D WVD IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ~ □ CLAIMS-MADE [Kl OCCUR DAMAGE TO RENTED 100,000 X RCAA30781301 4/27/2022 4/27/2023 PREMISES /Ea occurrence\ $ MED EXP IAnv one oerson) $ 5,000 ~ 1,000,000 PERSONAL & ADV INJURY $ ~ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ fX1 POLICY □ ~t8i DLoc PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: $ B -~TOMOBILE LIABILITY COMBINED SINGLE LIMIT iEa accident\ $ 1,000,000 ANY AUTO X WMC196356900 4/27/2022 4/27/2023 BODILY INJURY !Per nerson\ $ ~ OWNED X SCHEDULED BODILY INJURY /Per accident\ ~ AUTOS ONLY AUTOS $ X HIRED AUTOS ONLY X ~8foi"m1-~ iP~?~aWJ.~l?AMAGE $ $ C UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE 56000305100 4/27/2022 4/27/2023 AGGREGATE $ 1,000,000 OED I I RETENTION$ $ D WORKERS COMPENSATION X I ~~fTuTE I 10m AND EMPLOYERS' LIABILITY ER YIN ON1080102 1/17/2022 1/17/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [YI E.L. EACH ACCIDENT $ N/A 1,000,000 PJ[~~~Fc!X,1~~~~ EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ If ~10s1 describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 E Motor Truck Cargo BM059412398 4/27/2022 4/27/2023 Deductible $1,000 250,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101 1 Additional Remarks Schedule, may be attached if more space ls required) City of Gilroy is additional insured respects General Liability per attached form AG1960 0515 and respects Auto Liability per attached form CA990312 0514 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE I (ttt/fr ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.