HomeMy WebLinkAboutCOI - Ramsey Express Trucking, Inc. - Expires 2022-10-07ACORN® CERTIFICATE OF LIABILITY INSURANCE
DIYYYI()
DAT10/6/2021
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10/6/2
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
CONTACT
Noble West Insurance Services License #01310706
PHONE FAX
205 Natoma Street
. 916-355-1300 A/C No): 916-355-1306
ADDRESS: Certificates@noblewest.net
Folsom CA 95630
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Great West Casualty Co.
11371
INSURED
Ramsey Express Trucking, Inc.
INSURER B :
5407 Claribel Road
INSURER C
INSURER D :
Modesto CA 95357
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 938486891 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
ADDL
SUBR
POLICY NUMBER
MM/DDIYYYY
MM/RRIYYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F_k] OCCUR
Y
GWP89660K
106/2021
10/7/2022
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$100,OOD
MED EXP (Any oneperson)
$ 5,000
PERSONAL & ADV INJURY
S 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO- LOC
JECT
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
X X NON -OWNED
HIRED AUTOS AUTOS
Y
GWP89660K
10/7/2021
10/7/2022
COMBINED SINGLE LIMIT
Ea accident
1.000.000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
s
AGGREGATE
$
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
WC STATU OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
S
E.L. DISEASE - POLICY LIMIT
I $
A
A
Cargo - Broad Form
Bailee (Non -Owned)
GWP89660K
GWP89660K
1017/2D21
10/7/2021
10/7/2022
10/7/2D22
$100,000 $1,000 Deductible
$30,000 $1,000 Deductible
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Evidence of insurance. Cargo limit is increased to $250,000 when hauling heavy machinery.
Certificate holder is additional insured with regards to auto and general liability.
CERTIFICATE HOLDER CANCELLATION
City of Gilroy Public Works Dept.
7351 Rosanna Street
Gilroy CA 95020
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
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD