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Home My WebLink AboutCOI - Greyhound Lines, Inc. - Expires 2022-10-15A�aRitCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) D9/27/2022 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). PRODUCER AOn Risk Services Southwest, Inc. Dallas TX Office 5005 Lyndon B Johnson Freeway Suite 1500 Dallas TX 75244 USA CONTACT NAME: (NC. No. Ext): (866) 283-7122 FAX No.): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N INSURED Greyhound Lines, Inc. 350 N St Paul street Dallas TX 75201 USA INSURER A: National Union Fire Ins Co of Pittsburgh 19445 INSURER B: AIU Insurance Company 19399 INSURER C: ACE Property & Casualty Insurance Co. 20699 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570095572713 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE AD61—SUER INSD WVD POLICY NUMBER POLICY EFF (MMIDDYYY POLICY EXP/Y /Y MM/DDYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL6547201 04/01/2022 1`0/15/2022 EACH OCCURRENCE 510,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 55,000,000 MED EXP (Any one person) 55,000 PERSONAL& ADV INJURY 510,000,000 GEN'LAGGREGATE X POLICY OTHER: LIMIT APPLIES PER: PRO-LOC JECT GENERAL AGGREGATE $10, 000, 000 PRODUCTS • COMP/OP AGG 510,000,000 A A B AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ,_ S SCHEDULED AUTOS NON -OWNED AUTOS ONLY AL 7031017 AOS AL 7031019 VA AL 7031018 MA 04/01/2022 04/01/2022 04/01/2022 10/15/2022 10/15/2022 10/15/2022 COMBINED SINGLE LIMIT (Ea accidents S10, 000, 000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) C X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE XEUG72512832002 SIR applies per policy terns 04/01/2022 & condi'ions 04/01/2023 EACH OCCURRENCE $5,000,000 AGGREGATE 55,000,000 DED X RETENTION B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR ( PARTNER/ EXECUTIVE OFFICERMEMBEREXCLUDED? I N 1 (Mandatory in NH) II yes. describe under DESCRIPTION OF OPERATIONS below N / A wC065885824 AOS WC065885825 CA 04/01/2022 04/01/2022 04/01/2023 04/01/2023 x PER STATUTE OTH• ER E.L. EACH ACCIDENT 53,000,000 E.L. DISEASE -EA EMPLOYEE S3,000,000 E.L. DISEASE -POLICY LIMIT 53,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be nttactted 11 more space is required) city of Gilroy, its officers, representatives, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein is Primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of certificate Holder in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER city of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA RE ©E01Ei OCT -7 2022 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 Holder Identifier : 570095572713 Certificate No ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD