HomeMy WebLinkAboutCOI - Pacific Coast Container, Inc. - Expires 2023-11-30PCCLOGI-01 SRSPATRA3
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDNYYY)
11/30/2022
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
Co CT Rebecca Banuelos
ProCo Insurance Services
#41 E Hamilton Ave
#410
Campbell, CA 95008
PRONE FAX
AID, No, Est), (408 510.5468 A/C, No),
E-MAIL .rebecca.banuelos@ roco.global
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Through Transport Mutual Insurance Association Limited
INSURED
Pacific Coast Container, Inc. dba: PCC Logistics
432 Estudillo Avenue
San Leandro, CA 94577
INSURER B: National Specialty Insurance Company
22608
INSURER c: Alaska National Insurance Company
38733
INSURERD:
INSURER E:
INSURER F
--"" '-'^'"""•"'" KCVIJIUN 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.
JJLHIER
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBERfDDtYYYYI
PODCY EFF
POLICY EXP
1113012023
12/1/2023
UNITS
A
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE XOCCUR
X
226822022001
CAR0400000043
12/1/2022
1211/2022
EACH OCCURRENCE
$ 5,000,000
DAMAGE TO RENTED
9000000
MED EXP (Any one emon
50,000
PERSONAL& ADV INJURY
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
`l POLICY JECT �X LOC
OTHER:
AUTONY AUTO
X ANY AUTO
OWNED SCHEDULED
AUTEO�S ONLY AUTgOo$ p
AUTOS ONLY AUTOS ONLY
GENERALAGGREGATE
S 2,000,000
PRODUCTS-COMPIOPAGG
S 5,000,000
(EAA=COMBINeD SINGLE LIMIT
$
$ 1,000,000
BODILYINJURY Par arson
$
BODILY INJURY Per accident
PeOr PEZkZ DAMAGE
an
S
S
UMBRELLALIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH
$
AGGREGATE
DEO RETENTION$
C
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERJEXECUTNE YIN
(OFF'ManSoR/MEMBER EXCLUDED? N❑
(Mantlatory In NH)
It es, descdba antler
DESCRIPTION OF OPERATIONS below
Trailer Interchange
Motor Truck Cargo
NIA
122JWS12326
226822022001
226822022001
10/1I2022
12/112022
12/1/2022
X PER OTH.
TUT 'R
10/1/2023
11/3o/2023
11/30/2023
E.L. EACH ACCIDENT
$ 100g ggg
E.L. DISEASE - EA EMPLOYE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
Ded-$1,000
Ded-$5,000
S 1,000,000
1,000,000
250,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom apace is mquhad)
Re: Over the road permit
City of Gilroy Is Included as additional insured on GL as agreed upon by TT CLub Mutual Insurance, Ltd. Additional Insured status on Auto can only be added
with a copy of the contract.
City of Gilroy
7351 Rosanna St.
Gilroy, CA 95020
JAN 2 5 2023
GILROY CITY CLERICS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
A rnon 1. rOnlG,nn,
v I VOD-mu AT LJ KU CUKPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD