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HomeMy WebLinkAboutCOI - Aaron Bentley - Expires 2022-12-30Allstate. You're in good hands. CICWA021011 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard- less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder. CITY OF GILROY, ITS OFFICERS,OFFICIALS,AND EMPLOYEES 7351 ROSANNA ST GILROY, CA 95020-6141 Named Insured: AARON BENTLEY PO BOX 52 SAN MARTIN CA 95046-0052 Automobile Liability Insurer Name: Allstate Insurance Company Po icyNumber. 648258512 1 - Any Auto 2 - Owned Autos Only 3 - Owned Priv. Pass. Autos Only 4 - Owned Autos Other Than Priv. Pass. Autos Only 5 - Owned Autos Subject to No Fault 6- Owned Autos Subject to a Compulsory UM Law X 7 - Specifically Described Autos X 8 - Hired Autos Only X 9 - Non -owned Autos Only Po icy Effective Date: 12 - 3 0 - 2 021 Policy Expiration Date: 12 - 3 0 - 2 02 2 LimitsOf Insurance: $ 1, 000, 000 Combined Single Limit (each accident) BI Per Person BI Per Accident PD Per Accident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions CITY OF GILROY, ITS OFFICERS,OFFICIALS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED Interested PartyType: ADDITIONAL INSURED - OTHER THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT TH E CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer MAUREEN HARRIS INSURANCE Date: 08-31-22 SEP 2 0 2022 KROY CITY CLE RWS OFFICE Authorized Representative: BU114-3 CI CW A02 1011 Includes copyrighted material of Insurance Services Office, Inc., with its permission Allstate Insurance Company Certificate Copy Page 1 of 1 Allstate. You're in good hands. CUSTOMER NUMBER: 788940 RUN DATE: 08-31-22 MAUREEN HARRIS INSURANCE 17200 MONTEREY ST SUITE A MORGAN HILL, CA 95037 CITY OF GILROY, ITS OFFICERS, OFFICIALS, AND EMPLOYEES 7351 ROSANNA ST GILROY, CA 95020-6141 OUJ114-3 100002208316482585120509000010001002 Certificate Copy