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HomeMy WebLinkAboutCOI - Jim Dias Trucking Inc - Expires 2021-10-10A bW CERTIFICATE OF LIABILITY INSURANCE DAT (MM/DD 20 ) 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 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 Roberson & Sons Insurance Services, Inc. P.O. Box 491719 Redding CA 96049-1719 CON IACI NAME: (HCNNo. Extl: (530)365-1009 (AC, No): (530)297-7a0e E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Northfield Insurance Co 27987 INSURED Jim Dias Trucking Inc Bidwell Transportation 690 W 11th Ave Chico CA 95926 INSURERB:Hudson Insurance Company 25054 INSURERc:Travelers Property Casualty Co Of Am 25682 INSURER D: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER:2020-10-08 RH 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 NSURANCE 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. (NOR LTRINSD TYPE OF INSURANCE ADDL SUBR IA/VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY WS166394 10/10/2020 10/10/2021 EACH OCCURRENCE $ 1,000 , 000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100, 000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1, 000 , 000 GEN'L AGGREGATE LIMIT APPLIES JECT PRO-X PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG 2,000,000LOC $ $ B AUTOMOBILE _ X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS x X _ AUTOS SCHEDULED NON -OWNED AUTOS X 5UI-002773-07 10/10/2020 10/10/2021 COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ 1, 000 Ded UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C Motor Truck Cargo QT-660-4E989612-TIL-20 10/10/2020 10/10/2021 Limit $750,000 $5,000 DED DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy is named Additional Insured. Additional Insured applies to Auto Liability only. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosana Street Gilroy, CA 95020 I 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 Eric Roberson/RLH © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) INS025 (201401) The ACORD name and logo are registered marks of ACORD