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Home My WebLink AboutCOI - American Transport, Inc. - Expires 2024-08-21ACORO CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 DATE (MMIODNYYY) 03/21/2023 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 Willis Towers Watson Midwest, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA INSURED American Transport, Inc.; ATI Trucking, LLC; American Wind Transport Group, LLC 200 Airside Drive, Suite 260 Moon Township, PA 15108 CONTACT Willis Towers Watson Certificate Center NAME: PHONE 1-877-945-7378 (A/C No.Ext1: E-MAILDRESS: certificates@willis.com INSURER(S) AFFORDING COVERAGE INSURER A: RLI Insurance Company FAX 1-888-467-2378 (AIC No): NAIC Tt 13056 INSURERS: Lexington Insurance Company 19437 INSURER C: INSURER D: INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: W28389860 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 SUBti _ - POLICY EFF POLICY EXP ' LIhflTS LTR INSD WVD POLICY NUMBER (MM.DDIYYYY) (moon -fro A X COMMERCIAL GENERAL LIABILITY LGL0012094 04/01/2023 I !PREM I 08/01/2024 'PRODUCTS I EACH OCCURRENCE $ 1,000,000 I iJ CLAIMS -MADE I X ; OCCUR DAMAGE TO RENTbD ISES(Ea occurrence),__--!_f_ MED EXP (Any one person) $ 5, 000 PERSONAL & ADV INJURY ' $ 1,000,000 GEM_EL AGGREGATE LIMIT Xl POLICY PR- JEGT APPLIES PER: LOG GENERAL AGGREGATE $ 1,000,000 - COMP/OP AGG ; $ 1,000,000 OTHER: I $ A AUTOMOBILE UABIUTY _ X ANY AUTO Y SCHEDULED LFT0013314 04/01/2023 AUTOS NON -OWNED AUTOS ONLY 08/01/2024 COMBINED SINGLE LIMIT I $ 1,000, 000 Ea accident) ) BODILY INJURY (Per person) $ X OWNED AUTOS ONLY I f BODILY INJURY (Per accident) $ HIRED X AUTOS ONLY X PROPERTY DAMAGE I $ _(Per accident)___ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE I $ $ DED I I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR'PARTNER'EXECUTIVE OFFICER'MEMBEREXCLUDED? (Mandatory In NH) II yes, describe under I DESCRIPTION OF OPERATIONS YIN NIA I PER I OTH- I STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below _ _ I E.L. DISEASE • POLICY LIMIT I $ B Motor Truck Cargo 51567017 08/01/2022 08/01/2023 Other deductibles may apply as per policy terms end conditions Limit: I$100,000 Deductible: $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached II more space Is required) Tariff rules and regulations limit carrier's liability to a max of $1.50/lb for each article transported, or $0.10/lb for shipments of used or reconditioned goods. If value in excess of these limits is declared, see tariff rules and regulations for complete procedures to which shipper is subject. It is agreed that the carrier's liability on any shipments tendered by a certificate holder is limited to an amount not to exceed the limit listed above. Higher limits are available upon request and are effective upon confirmation in writing from the corporate headquarters of the motor carrier. Drivers or agents have no authority to amend wording or limits. CERTIFICATE HOLDER CITY OF GILROY ATTN: PUBLIC WORKS DEPT ROSANNA ST GILROY, CA 95020 IME@ROWEECL APR 1 0 2023 GILROY CITY CLERK'S OFFICE APR 10 2023 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 es prA ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 23861171 eATca: 2900904 2 of 5 11031 Policy Number: LGL0012094 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: TRUCKERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM GENERAL LIABILITY COVERAGE FORM EXCESS INDEMNITY COVERAGE FORM MOTOR TRUCK CARGO COVERAGE FORM COMMERCIAL EXCESS LIABILITY POLICY MOTOR CARRIER COVERAGE FORM The provisions of the Coverage Form apply unless modified by this endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 04/01/2023 Named Insured: American Transport, Inc.; ATI Trucking, LLC; American Wind Transport Group, LLC Additional Insured shall include any organization where shown on a Certificate of Insurance or to whom the Named Insured is obligated by virtue of a written contract or agreement to provide insurance but only as respects the operations of the Named Insured. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. TRS 601 (11/06) Page 1 of 1