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HomeMy WebLinkAboutCOI - Renn Transportation, Inc. - Expires 2022-03-01ACCIRCP- IDATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 2/19/2021 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). RODUCER Venbrook Insurance Services CA Lic OD80832 CONTACT P 16815 Von Karman Avenue Suite 180 Irvine, CA 92606 www,venbrook.com CA Lic No, 0D80832 INSURED Renn Transportation, Inc. Renn Transportation Company 8845 Forest Street Gilroy CA 95020 COVERAGES CERTIFICATE OF LIABILITY INSURANCE PHONE (A/C No Ext): E-MAIL ADDRESS: Venbrook OC Cert Desk (949) 652-6321 certificates@venbrook,com INSURER(S) AFFORDING COVERAGE INSURER A: Old Republic Insurance Company INSURER B : AXIS Surplus Insurance Company FAX (A/C, No): INSURER C : Underwriters at Lloyd's, London (AM Best# 085202) INSURER D: Crum & Forster Specialty Insurance Co INSURER E (949) 652-3980 NAIL # 24147 26620 85202 44520 INSURER F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDENASION NUMBER: M D 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 SUBR LTR WVD A A B A C D c C TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE I ✓ OCCUR CERTIFICATE NUMBER: 60225407 GEN'L AGGREGATE LIMIT APPLIES PER: • POLICY PRO- JECT LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY MCS-90 ✓ CA9948 UMBRELLA LIAB EXCESS LIAB DED I I RETENTION $ ADDL INSD POLICY NUMBER MWZY31570821 POLICY EFF (MM/DD/YYYY) 3/1/2021 POLICY EXP (MM/DD/YYYY) 3/1/2022 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $1,000,000 $ 500,000 $10,000 $1,000,000 $ 2,000,000 $2,000,000 OCCUR CLAIMS -MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N/A Excess Liability Per Occ & Agg Transportation Pollution Liability Motor Truck Cargo Excess Motor Truck Cargo DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES MWTB31570921 P-001-000200301-02 MWC31579121 3/1/2021 8/1/2020 3/1/2021 3/1/2022 8/1/2021 3/1/2022 20*RENMA2000055-60782*06 8/1/2020 8/1/2021 CPL-111525 8/1/2020 8/1/2021 20WW02MTC011 8/1/2020 8/1/2021 20WW03XS011 8/1/2020 8/1/2021 (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City Of Gilroy Is Included As An Additional Insured VUth Respect To General Liability 30 Day Notice Of Cancellation / 10 Day Notice For Non -Payment COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) Comp & Collision EACH OCCURRENCE AGGREGATE ✓ I PSTATUTE I 1ERRH- EL. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE CERTIFICATE HOLDER E.L, DISEASE - POLICY LIMIT 3,000,000 2,000,000 100,000 900,000 $1,000,000 $1,000 $ 2,000,000 $ 2,000,000 $1,000,000 $1 000 000 $1,000,000 City Of Gilroy 7351 Rosanna Street Gilroy CA 95020 CANCELLATION 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 C Cassie Ramos -R„o\xme., ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 60225407 175378 12021 AL, APD, GL, WC & 2020 MTC, XS, TPL I Gabriela Covarrubias 12/19/2021 1:33:18 PM (PST) I Page 1 of 4 This certificate cancels and supersedes ALL previously issued certificates. Renn Transportation, Inc. Renn Transportation Company POLICY NUMBER: MWZY31570821 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) All persons or organizations when required by written contract or agreement Location(s) Of Covered Operations All Locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured, B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed byor on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 60225407 175378 12021 AL, APD, GL, WC & 2020 MTC, XS, TPL I Gabriela Covarrubias 12/19/2021 1:33:18 PM (PST) I Page 2 of 4 This certificate cancels and supersedes ALL previously issued certificates. Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 60225407 175378 12021 AL, APD, GL, WC & 2020 MTC, XS, TPL I Gabriela Covarrubias 12/19/2021 1:33:18 PM (PST) I Page 3 of 4 This certificate cancels and supersedes ALL previously issued certificates. CG 20 1012 19 Renn Transportation, Inc. Renn Transportation Company POLICY NUMBER: MWZY 315708 20 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations All persons or organizations when required by written contract or agreement All completed operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 60225407 175378 12021 AL, APD, GL, WC & 2020 MTC, XS, TPL I Gabriela Covarrubias 12/19/2021 1:33:18 PM (PST) I Page 4 of 4 This certificate cancels and supersedes ALL previously issued certificates. Page 1 of 1