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Home My WebLink AboutCOI - Greyhound Lines, Inc. - Expires 2022-10-31A CERTIFICATE OF LIABILITY INSURANCE °A7E(MMD°mYY 10/12/E022 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 corder rights to the certificate holder in lieu of such endorsement(s). PRODUCER ADD Risk Services southwest, Inc. Dallas TX Office CONTACT NAME: PH 1 (AC. No. Exp: (866) 283-7122 NP : (800) 363-0105 5005 Lyndon a Johnson Freeway Suite 1500 E-MAIL ADDRESS: Dallas TX 75244 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Ins co Of Pittsburgh 19445 Greyhound Lines, Inc. 350 N St Paul street Dallas TX 75201 USA INSURERB: AIU Insurance company 19399 INSURER C: ACE Property & Casualty Insurance Co. 20699 INSURER O: Ironshore specialty Insurance Company 25445 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570096061450 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 LTq TYPE OF INSURANCE Inc wo POLICY NUMBER MMIDO/YYY IMIDDIYYYY LIMITS X I COMMERCIAL GENERAL LIABILITY GL EACH OCCURRENCE S10,0001000 CLAIMS -MADE X❑OCCUR PREMISES Ea ocewrence $S, OOO, OOO MED EXP(Any one person) $5,000 PERSONAL& ADV INJURY $10,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $10,000,000 X POLICY 0PflO LOC JECT PRODUCTS - COMP/OPAGG $10,000,000 OTHER: A AUTOMOBILE LIABILITY AL 7031017 04/01/2022 10/31/2022 COMBINED SINGLE LIMIT III accident) S10,000,000 ADS BODILY INJURY (Per pereon) A ANYAUTO AL 7031019 04/01/2022 10/31/2022 BODILY INJURY(Per accident) e OWNED SCHEDULED AUTOS ONLY AUTOS NON -OWNED ONLY AUTOS ONLY HIREDAUTOS P I VA AL 7031018 04/01/2022 10/31/2022 PROPERTY DAMAGE Par accident) C IDED UMBRELLALIAS EXCESS LIAR % OCCUR CLAIMS-MAOE XEUG72512832002 SIR applies per policy ter 04 012022 s & condl 04 01 2023 ions EACH OCCURRENCE 5,000,005 AGGREGATE $5,000,000 % IRETISINTION B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N MY PROPAMTORB OFFICEWMEMBERIEXCLUDED,9PARTNER EXECDTVE (Mandatary In NN) It Yes. describe under DESCRIPTION OF OPERATIONS below N/A WCO $ 58 ADS wc065885825 CA 04/01/2022 04/01/2022 1 04/01/2023 X PER STATUTE OTH- R E.L. EACH ACCIDENT S3,000,000 E.L. DISEASE -EA EMPLOYEE $3,000,000 E.L.DISEASE-POLICY LIMIT $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be anached it more apace 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 IU�w,_ v I CANCELLATION Ulu, I 'G b CULL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Gilroy GILROY CITY CLERK'S OFFICE AUTHORIZED REPRESENTATIVE 7351 RDSanna Street Gilroy CA 95020 USA e Ax 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD2YYYY) 10/12/202 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 CONTACT NAME: PHONE (AIC. No. Ext): t 866) 283-7122 aC No.): (800) 363-0105 E-MAIL ADDRESS: 5005 Lyndon B Johnson Freeway Suite 1500 INSURER(S) AFFORDING COVERAGE NAIC # Dallas Tx 75244 USA INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 Greyhound Lines, Inc. 350 N St Paul Street Dallas Tx 75201 USA INSURERS: AIU Insurance Company 19399 INSURERC: ACE Property & Casualty Insurance Co. 20699 INSURERD: Ironshore Specialty Insurance Company 25445 INSURER E: ENSURER F: COVERAGES CERTIFICATE NUMBER: 570096061450 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY GL6547201 M1011ZUZ2 EACH OCCURRENCE $10, 000, 000 CLAIMS -MADE ❑X OCCUR DAMAGE TO R1717rI79- PREMISES Ea occurrence)$5 , 000, 000 MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $10, 000, 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10, 000, 000 X POLICY ❑ PRO- r LOC JECT PRODUCTS - COMP/OP AGG $10, 000, 000 OTHER: A AUTOMOBILE LIABILITY AL 7031017 04/01/2022 10/31/2022 COMBINED SINGLE LIMIT IEa accident) $10, 000, 000 AOS BODILY INJURY ( Per person) A X ANYAUTO AL 7031019 04/01/2022 10/31/2022 BODILY INJURY (Per accident) e OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY VA AL 7031018 MA 04/01/2022 10/31/2022 PROPERTY DAMAGE Per accident C X UMBRELLALIAB EXCESS LIAB H OCCUR CLAIMS -MADE XEUG72512832002 SIR applies per policy terms 04/01/2022 & conditions 04 01 23 EACH OCCURRENCE $5 , 000, 000 AGGREGATE S5,000,000 DED I X RETENTION B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR I PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) Ii yes, describe under DESCRIPTION OF OPERATIONS below N / A wc065 85 2 ADS wc065885825 CA 04 O1 2 2 04/Ol/2022 04/01/202 3 04/Ol/2023 X I PER STATUTE I OTH- R E.L. EACH ACCIDENT S3,000,000 E.L. DISEASE -EA EMPLOYEE $ 3 , 000 , 000 E.L. DISEASE -POLICY LIMIT S3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may bo attached It 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 c as i d 'O 6 0 Z 0 r «s 2 t: 0 U 4! r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - EXPIRATiON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE - POLICY PROVISIONS. 9-121* City Of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna street 'f� _ Gilroy CA 95020 USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CANCELLATION