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Home My WebLink AboutCOI - Greyhound Lines, Inc. - Expires 2023-10-31---, CERTIFICATE OF LIABILITY INSURANCE ACORO III,..------- DATE(MM/DD/YYYY) 04/03/2023 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 Aon Risk Services Southwest, Inc. Dallas TX Office 5005 Lyndon B Johnson Freeway Suite 1500 Dallas Tx 75244 USA CONTACT NAME: (866) 283-7122 ON((A No. Ext): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Greyhound Lines, Inc. DO Bas 60752 Dallas TX 75266-0362 USA INSURER A: Ironshore Specialty Insurance Company 25445 INSURER B: ACE Property & Casualty Insurance Co. 20699 INSURER C: AIU Insurance Company p 19399 INSURER D: National Union Fire Ins Co of Pittsburgh 19445 INSURER E: BUS Risk Retention Group, Inc. 0318AL INSURER F: COVERAGES CERTIFICATE NUMBER: 570098859742 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 ADDL INSD SUER WVo POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP IMM/DD/YYYY LIMITS E X COMMERCIAL GENERAL LIABILITY GLRRG00102201 10/31/2022 10/31/2023 EACH OCCURRENCE $10,000,000 CLAIMS -MADE X OCCUR DAMAGE I0 RENTED PREMISES (Ea occurrence) 55,000,000 MED EXP (Any one person) $ 5 , 000 PERSONAL 8 ADV INJURY 510,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 510,000,000 X PRO POLICY I IJECT LOC PRODUCTS - COMP/OPAGG $10,000,000 OTHER: 0 AUTOMOBILE LIABILITY AL 7281073 LA, MI NM, NY OR TX WA 04/01/2023 04/01/2024 COMBINED SINGLE LIMIT (Ea accident) 510, 000, 000 C X ANY AUTO , , , , AL 7281072 04/01/2023 04/01/2024 BODILY INJURY( Per person) OWNED S SCHEDULED AUTOS MA BODILY INJURY (Par accident) E AUTOS ONLY HIRED AUTOS ONLY _ NON -OWNED AUTOS ONLY AL-RRG-001022-01 ADS 10/31/2022 10/31/2023 PROPERTY DAMAGE IPer accident) B x UMBRELLALIAB X OCCUR XEUG72512832003 04/01/2023 04/01/2024 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS -MADE SIR applies per policy terms & condi`ions AGGREGATE $5,000,000 DED X RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC015824967 04/01/2023 04/01/2024 x PER STATUTE OTH- ER C Y / N ANY PROPRIETOR PARTNER/ EXECUTIVE U N/A A05 wC015824968 04/01/2023 04/01/2024 E.L. EACH ACCIDENT 53, 000, 000/M OFFICEREMBEREXCLUDED? (Mandatory In NH) CA E.L. DISEASE -EA EMPLOYEE $ 3 , 000 , 000 II ESs. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 3 , 000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if 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 APR 1 1 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 : 570098859742 Certificate No ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACO/2,0 CERTIFICATE OF LIABILITY INSURANCE km......---- DATE(MM/DO/YYYY) 04/03/2023 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 Aon Risk Services Southwest, Inc. Dallas TX Office 5005 Lyndon B Johnson Freeway Suite 1500 Dallas TX 75244 USA CONTACT NAME: (NC.PHNH . Ext): (866) 283-7122 FAX No ); (800) 363-0105 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIL # INSURED Greyhound Lines, Inc. Do 7 Box Dallas TX 75266-0362 USA INSURER A: Ironshore Specialty Insurance Company 25445 INSURER B: ACE Property & Casualty Insurance Co. 20699 INSURERC: AIU Insurance Com an p y 19399 INSURERD: National Union Fire Ins Co of Pittsburgh 19445 INSURER E: BUS Risk Retention Group, Inc. 0318AL INSURER F: COVERAGES CERTIFICATE NUMBER: 570098859742 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYY POLICY EXP MiM/DD/YYYY) LIMITS E X COMMERCIAL GENERAL LIABILITY GLRRG00102Z01 10/31/2012 r 1OJ31/2023 EACH OCCURRENCE $10,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S5,000,000 MED EXP (Any one person) 55,000 PERSONAL & ADV INJURY $10, 000, 000 GEN'LAGGREGATE 1 LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP/OP AGG $10,000,000 0 C E AUTOMOBILE _ x — - LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY '— .— _ / SCHEDULED AUTOS NON -OWNED AUTOS ONLY - AL 7281073 LA, MI, NM, NY, OR, TX , WA AL 7281072 MA AL-RRG-001022-01 AOS 04/01/2023 04/01/2023 10/31/2022 04/01/2024 04/01/2024 10/31/2023 COMBINED SINGLE LIMIT (Ea accident) $10, 000, 000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) B X — UMBRELLA LIAB EXCESS LIAB X — OCCUR CLAIMS -MADE XEUG72512832003 SIR applies per policy terns 04/01/2023 & conditions 04/01/2024 EACH OCCURRENCE S5,000,000 AGGREGATE $5,000,000 DED X RETENTION C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) II yes describe under DESCRIPTION OF OPERATIONS below Y / N N N / A WC015824967 AOS WC015824968 CA 04/01/2023 04/01/2023 04/01/2024 04/01/2024 X PER STATUTE OTH- ER E.L. EACH ACCIDENT S3,000,000 E.L. DISEASE -EA EMPLOYEE S3,000,000 E.L. DISEASE -POLICY LIMIT $3, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if 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 CANCELLATION Holder Identifier : City of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA 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 Mdt9Q....a..9fwer......5",. * * 41988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD