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Home My WebLink AboutCOI - Cal-Valley Insurance Services, Inc. - Expires 2023-07-01AWRD PRODUCER Cal -Valley Insurance Services, Inc. 5070 N. Sixth St. #155 License #0733383 Fresno INSURED CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/29/2022 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 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). CONTACT Carrisa Nowinski NAME: PHONE (559) 225-1300 I FAX (559) 225-8966 ((A/C. No. Extl; (A/C, No): IE-MAIL ADDRESS: Cs riga n©na Iva IlayincrirartnR nnm INSURER(S) AFFORDING COVERAGE CA 93710 INSURER : Kinsale Insurance CO INSURER a : Great West Casualty Company Mike O'Brien Specialized Hauling, Inc INSURER C : Scottsdale Insurance Co. 1459 18th Street #162 INSURER D : State Compensation Ins Fund INSURER E : Argonaut Insurance Company San Francisco CA 94107 INSURER F : COVERAGES CERTIFICATE NUMBER: TRUCK PACKAGE 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 ADDL SUBR I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD wVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) XI COMMERCIAL GENERAL LIABILITY NAIC # 11371 41297 35076 19801 CLAIMS -MADE X OCCUR X $1,000 deductible per claim A Y 0100196256-0 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO B OWNED AUTOS ONLY X HIRED AUTOS ONLY C D E X X SCHEDULED AUTOS NON -OWNED AUTOS ONLY UMBRELLA LIAB X EXCESS LIAB DED I 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 Motor Truck Cargo OCCUR CLAIMS -MADE Y/N Y MCP79688A XLS0125501 N/A 9242023-2021 ASL00006278-LGM-00 07/01/2022 07/01/2023 01/31/2022 01/31/2023 07/01/2022 07/01/2023 12/01/2021 12/01/2022 06/27/2022 06/27/2023 LIMITS 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 BI EACH OCCURRENCE AGGREGATE XIPER STATUTE I I EERH E.L. EACH ACCIDENT $ $ 1,000,000 $ 60,000 $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ Per Conveya/$1,200,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate issued as evidence of coverage maintained by named insured. Policy #MCP79688A includes Non -Owned Trailer in` •Z , ,• 1. I :, i damage coverage- max value per trailer $50,000/$5,000 deductible. Certificate holder has been named additional insured. En 6L��17671f5� company. *10 day notice of cancellation for non payment of premium. CERTIFICATE HOLDER City of Gilroy 7351 Rosanna Street Gilroy CA 95020 JUL - 6 2022 1,000,000 250,000 Excluded 1,000,000 2,000,000 2,000,000 1,000,000 1,000, 000 1,000,000 Deduct/10,000 GILROY CITY CLERK'S OFFICE 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 Jiost....s A. Pirw.loce. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD