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HomeMy WebLinkAboutCOI - Ernie's Mobile Home Transport, Inc. - Expires 2021-11-03ACCIRLY CERTIFICATE OF LIABILITY INSURANCE L...►' DATE(MM/DD/YYYY) 10/30/2020 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 pollcy(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 UUNTACI NAME: O (530) 365-1009 FAX No, Ext): / No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Kinsale Insurance Company 38920 INSURED Ernie's Mobile Home Transport, Inc. PO Box 1510 Marysville CA 95901 INSURERB:Northland Insurance Co 24015 INsuRERC:Lloyds Of London 26077 INSURER D INSURER E : INSURERF: CERTIFICATE NUMBER:2020-10-30 JMC 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL PD LIABILITY OCCUR X 0100033173-5 11/3/2020 11/3/2021 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 X $1, 000 BI & Deductible MED EXP (Any one person) $ Excluded PERSONAL &ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT PRODUCTS - COMP/OP AGG $ 2LOC ,000,000 OTHER: $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS -OWNED wN2B5301 11/3/2020 11/3/2021 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ R SCHEDULED AUTOS BODILY INJURY (Per accident)$ X — X NON _AUTOS PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A - PER OTH- STATUTE ER E.L, EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C Motor Truck Cargo MM10866A20 11/3/2020 11/3/2021 Limit: Deductible: $100,000 $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Cargo coverage includes Double -Wide & Triple -Wide Endorsements. City of Gilroy is named as Additional Insured. Additional Insured applies to General Liability only. CANCELLATI 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/JAM �%e- Z' © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) INS025 (201401) The ACORD name and logo are registered marks of ACORD