Loading...
HomeMy WebLinkAboutCOI - Cim Air, Inc. - Expires 2023-07-01License #0436405 ® DATE (MMIDD/YYYY) 6/29/2022 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 ICUNTAUT Zenaida Belnas NAME: Scurich Insurance Services (PHONE (831)661-5697 (FATAX No. Extl: , No): (831) "1-5741 IL zenaida@scurichinsurance.com ADDRESS: P.O. Box 1170 Watsonville INSURED Cim Air, Inc. 50 Aviation Way, ACORO CERTIFICATE OF LIABILITY INSURANCE #2 CA 95077-1170 ENMA INSURER(S) AFFORDING COVERAGE INSURER A: California Automobile Ins Co INSURER B: INSURER C: INSURER D : INSURER E : Watsonville CA 95076 I INSURERF: COVERAGES CERTIFICATE NUMBER:CL2262907065 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 THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD wvn POLICY NUMBER (MM/DDIYYYY) IMM/DD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE OCCUR GEN'LAGGREGATE LIMIT APPLIES PER: POLICY PRO-LOC JECT OTHER: AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS X HIRED AUTOS UMBRELLA LIAB X SCHEDULED AUTOS NON -OWNED AUTOS EXCESS LIAB DED I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below OCCUR CLAIMS -MADE YIN N/A RA04000068664 7/1/2022 7/1/2023 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *Proof of Insurance* CERTIFICATE HOLDER City of Gilroy, Its officers, Officials and Employees 7351 Rosanna St Gilroy, CA 95020 CANCELLATION EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) Uninsured motorist combined single EACH OCCURRENCE AGGREGATE I STATUTE EERH E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT R NAIL # $ $ 1,000,000 $ $ 1,000,000 $ $ $ EC�OOM[D JUL -6 2022 GILROY CITY CLERK'S OFFICE 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 Antone Scurich/VIKKI © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)