HomeMy WebLinkAboutCOI - Aaron Bentley - Expires 2022-12-30Allstate.
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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