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Home My WebLink AboutCOI - Stinger Transport Company - Expires 2021-08-15AtC . CERTIFICATE OF LIABILITY INSURANCE �,,.,.�' ATE D/182020/Dp/YYYY) 08/18/2020 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 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 Sentry Insurance 1800 North Point Drive Stevens Point, WI 54481 CONTACT NAME: Sentry Customer Service PHONE FAX (A/C, No, Exth 800-473-6879 I (A/C No): 800-514-7191 EMAIL ADDRESS: businessproducts_directesenty.com INSURERS) AFFORDING COVERAGE NAIC N INSURER A : Sentry Select Insurance Company 21180 INSURED Stinger Transport Company 569 S Van Buren St Placentia, CA 92870 INSURER B : Middlesex Insurance Company 23434 INSURER C ; INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1242600 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 TI-IE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE INSRL WVp POLICY NUMBER POLICY EFF (,MM/DD/YYYYZ POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X OCCUR X 494923G004 08/15/2020 08/15/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES PREMISES (Ea occurrence) 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE X LIMIT APPLIES PER: POLICY [�-1 JEo 1---- 1 LOC OTHER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ AAUTOS AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AS NON -OWNED AUTOS ONLY 4949236005 08/15/2020 08/15/2021 COMBINED SINGLE LIMIT (Enacoldent) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X x UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 4949236006 08/15/2020 08/15/2021 EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 15,000,000 DED RETENTION $ PRODUCTS - COMP/OP AGG $ 15,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE LJ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N N / A 494923G012 08/15/2020 08/15/2021 PER. x (STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Refer to attached CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna St Gilroy, CA 95020-6141 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 { ACORD 25 (2016/03) 4949236 Sentry Select Insurance Company 3 00003 0000000877 20231 0 N Page 1 of 2 Oc 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 08/18/2020 A976EEOF-CC83-4777-B416-CF762EOF2FF5 0027020044357385445895020619651 AGENCY CUSTOMER ID• xxxxxx3771 ACO LOC #• ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Scott Deaver NAMED INSURED Stinger Transport Company POLICY NUMBER 4949236004 CARRIER Sentry Select Insurance Company NAIC CODE 21180 EFFECTIVE DATE; 08/15/2020 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance General Liability CITY OF GILROY IS NAMED ADDITIONAL INSURED .. ACORD 101 (2008/01) OO 2008 ACORD CORPORATION. All rights reserved. 4949236 The ACORD name and logo are registered marks of ACORD 08/18/2020 Sentry Select Insurance Company POLICY NUMBER: 4949236004 COMMERCIAL GENERAL LIABILITY CO20100413 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) Location(s) Of Covered Operations City of Gilroy All Locations Description: City of Gilroy 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. Change effective 08/18/2020 CO20100413 4949236 Sentry Select Insurance Company 5 00003 0000000877 20231 0 N 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 by or 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. 04 Insurance Services Office, Inc., 2012 4EF0000A-05F0-4EE7-ADEA-BOABC8OFF544 0027020044357385038405020019851 Page 1 of 2 08/18/2020 C. 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 Page 2 of 2 4949236 Sentry Select Insurance Company 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. O Insurance Services Office, Inc., 2012 Change effective 08/18/2020 CO 2010 0413 08/18/2020