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HomeMy WebLinkAboutCOI - Sebring Transport, Inc. - Expires 2024-03-01^ciic Rh® CERTIFICATE OF LIABILITY INSURANCE DA4/19//2202�' 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 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 Noble West Insurance Services License #OB10706 205 Natoma Street Folsom CA 95630 CONTACT NA PHONE FAX 916-355.1300 I= Na:916-355-1306 ADDRESS: PRODUCER CUSTOMER to INSURERS AFFORDING COVERAGE NAIC# INSURED Sebring Transport, Inc. 2100 Carden Street INSURER A: Great West Casualty Co. 11371 INSURER B: Travelers Insurance Group 25682 INSURER C : Great American Ins Cc 16691 San Leandro CA 94577 INSURER D : Crum & Forster Specialty 44520 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 66183918 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 LTR TYPE OF INSURANCE AMBUBR POLICY NUMBER MWD�/YYYP MMD�/YYXYP OMB A GENERAL LIABILITY X COMMERCIAL GENERALUABILnY CLAIMS -MADE Fx_] OCCUR Y GWP597400 3112023 3/12024 EACH OCCURRENCE $1.000000 OAMA O RENTE PREMISES Ea occurrence $100,000 MED EXP (Any oneperson) $5000 PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE $2D00000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: X PRO- LOC JECT PRODUCTS-COMP/OP AGG $2000,G00 $ A AUTOMOBILE LIABILRY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Y GWP597400 3112023 3112024 COMBINED SINGLE LIMIT (Ea accident) $10000m BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X $ D UMBRELLA LIAR EXCESS LAB X OCCUR CLAIMS -MADE SE0122864 3112023 31IM024 EACH OCCURRENCE $1,000000 X AGGREGATE $1,000000 DEDUCTIBLE RETENTION $ S $ C WORKERS COMPENSATION AND EMPLOYER$' LIABILITY Y/N ANYPROPRIETORIPARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDE07 (Mandatory In NH) If yes, describe undo, DESCRIPTION OF OPERATIONS below N/A VJC4671971 1/182023 1/182024 X WCSTATIU OTH- - E.L. EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYE $1000000 El. DISEASE -POLICY LIMIT $r. B A A Cargo Bolles (Non -Owned Trailer Physical Damage QT6602L1B1464TIL23 GVJP597400 GWP597400 4202023 3/112023 3/112023 4202024 3/1/2024 3112024 $250,000 $2,500 Ded. $75,000 $1,000 Detl. $2.500 Detl. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Evidence of Insurance. Certificate holder is additional insured with regards to the auto and general liability coverage. I n{I g(_ LgUNWMDD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <DAYS> DAYS WRITTEN NOTICE TO THE APR 2 4 2023 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO City of Gilroy Public Works De SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 7351 Rosanna Street Gilroy CA95020 GILROY CITY CLERK'S OFFICE AUTHORIZED REPRESENTATIVE USA I 01988-2009 ACORD CORPORATION. All Hants reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD