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HomeMy WebLinkAboutCOI - Pacific Coast Container, Inc. - Expires 2022-12-01PCCLOGI-01 SRSPATRA3 ,a`oRo CERTIFICATE OF LIABILITY INSURANCE DATE 1013/20223/2022 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 endorsements . PRODUCER co DT Rebecca Banuelos ProCo Insurance Services 910 E Hamilton Ave #410 Campbell, CA 95008 PHONE FAX INC, No, EXt: lac, No: E I QR. rebecca.banuelos@proco.global INSURERS AFFORDING COVERAGE NNC% INSURER A: Through Transport Mutual Insurance Association Limited INSURED INSURER S: National Continental lnsuranDeCDm an 10243 INSURER C: Alaska National Insurance Company 387 Pacific Coast Container, Inc. dba: PCC Logistics 432 Estudillo Avenue San Leandro, CA 94577 INSURER❑: INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INTR SR I TYPE OF INSURANCE ADDLISUBR POLICY NUMBER PGUCYEFF POLICY EXP UNITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I S 5,000,000 CLAIMS -MADE ❑X OCCUR X 226822021001 12/1/2021 121112022 DAMAGE TO RENTEDPREMISES (Ee-ox;urrenat) 1 ggg�ggg MED EXP An one ereca S 50,000 PERSONAL S ADVINJURY 11000,000 GEN'L AGGREGATE LIMIT- APPLIES PER: POLICY JEOT � GENERALAGGREGATE S 2,000,000 a LOC PRODUCTS-COMP/OPAGG S 5,000,OOD OTHER: 1AUTOMOBILE B LIABILITY lI COMBINED SINGLE LIMIT 11,000,000 X ANY AUTO !CP48797281 12/112021 9A4f1d201) 121112022 I BODILY INJURY Per erson OWNED SCHEDULED S AUTOS ONLY AUTOSWNEp BODILY INJURY Peraccidem OTEOS ONLY AUTOS ONLY DAMAGE S (eOLaccmen S UMBRELLA LMB �I OCCUR .EACH OCCURRENCE S H EXCESS DAB CLAIMSMADE AGGREGATE DED I I RETENTION $ S C WORKERS COMPENSATION X 'PER OTH- AND EMPLOYERS' LIABILITYTUTE ER ANY PROPRIETORIPARTNEWEXECUTIVE �Y�I�N� NIA 22JW512326 t01112022 10/1I2023 1,000,000 E I EACH ACCIDENT $ FFICER/MEM EXCLUDEDT '• Mandatory In �qg� 1,000,000 If es. describe und 1 E L. DISEASE -EA EMPLOYEES . DESORIPTION OFOerPERATIONS below I E. L. DISEASE -POLICY LIMIT S 1,000,000 A iTrailer Interchange 226822021001 17/1/2021 12/1/2022 Ded-$2,500 250,000 A (Motor Truck Cargo 226822021001 12/1/2021 1211/2022 Ded-$5,000 250,000 DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe atfaehsd If more space is required) 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 O C I 12 L U [ ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Gliroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351RosannaSt. GILRGYCnCLIEW Y)�c Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE /+ Vmu LD ILV I OIU3I © 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD