HomeMy WebLinkAboutCOI - Pacific Coast Container, Inc., dba: PCC Logistics - Expires 2021-12-01.CORD
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
11/30/2020
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 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
Arthur J. Gallagher Risk Management Services, Inc.
6967 South River Gate Drive, #200
Salt Lake City UT 84047
NAME:
Carolyn Maldonado
PA+G HONENo Ext)' 801-92.4-1400
ADDRESS certrequests(eilajq.com
INSURER(S) AFFORDING COVERAGE
INSURER A: TT Club Mutual Ins. Ltd.
X
(/C, No): 801-924-1441
NAIC S
INSURED
Pacific Coast Container, Inc., dba: PCC Logistics
432 Estudillo
San Leandro, CA 94577
COVERAGES
CERTIFICATE NUMBER:12
PCCLOGI.01
400978
INSURER B: National Continental Insurance Company
INSURER C :
10243
INSURER D :
INSURER E :
INSURER F:
REVISION NUMBER:
THIS
INDICATED.
CERTIFICATE
EXCLUSIONS
INSFi
LTR
IS TO CERTIFY THAT THE POLICIES
NOTWITHSTANDING ANY REQUIREMENT,
MAY BE ISSUED OR MAY
AND CONDITIONS OF SUCH
TYPE OF INSURANCE
OF INSURANCE
PERTAIN,
POLICIES.
ADDLTITR
INBD
WVD
LISTED BELOW HAVE BEEN
TERM OR CONDITION OF ANY
THE INSURANCE AFFORDED BY
LIMITS SHOWN MAY HAVE BEEN REDUCED
POLICY NUMBER
ISSUED TO
CONTRACT
THE POLICIES
BY
POLICYF Wrv'
(MM/DDDIYYYY)
THE INSURED
OR OTHER
DESCRIBED
PAID CLAIMS.
POLICY EXP
(MM/DD/YYYY)
NAMED ABOVE FOR THE POLICY PERIOD
DOCUMENT WITH RESPECT TO WHICH THIS
HEREIN IS SUBJECT TO ALL THE TERMS,
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
22682/2020
12/1/2020
12/1/2021
EACH OCCURRENCE
$5,000,000
I CLAIMS -MADE l X I OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence)
1,000,000
MED EXP (Any one person)
$ 50,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ None
POLICY
1JECPRO7-
X I LOC
PRODUCTS - COMP/OP AG G
$ 5,000,000
OTHER:
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
CP4879728-0
12/1/2020
12/1/2021
�� ag�dgpt) SINGLE LIMIT
BODILY INJURY (Per person)
$1,000,000 wY
$
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
BODILY INJURY (Per accident)
$
X
HIRED
x
NON -OWNED
AUTOS ONLY
PROPERTY DAMAGE
leer accident
No Deductible
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$
DED
-1 RETENT ON $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
PER
STATUTE
OTH
ER
Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE I
N / A
E.L. EACH ACCIDENT
$
OFFICER/MEMBE'REXCLUDED?
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
A
A
Trailer Interchg/Cariying Equip
Motor Truck Cargo/Reefer
22682/2020
22682/2020
12/1/2020
12/1/2020
12/1/2021
12/1/2021
Limit: $250,000
Limit: $250,000
$ Ded:2,500
$ Ded:5,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
re: over the road permit. City of Gilroy is included as additional insured on GL as agreed upon by TT Club Mutual Insurance Ltd. Additional Insured status on
Auto can only be added with a copy of the contract.
CERTIFICATE HOLDER
City of Gilroy
7351 Rosanna St
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
Oc 1988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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