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HomeMy WebLinkAboutCOI - Jim Dias Trucking Inc - Expires 2022-10-10ACOR1:?_ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) �0� 9/30/2021 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 NAME: Roberson & Sons Insurance Services, Inc. P.O. Box 491719 PHONED (530) 365-1009 AX No(530)247-7608 E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIC 9 Redding CA 96049-1719 INSURER A: Northfield Insurance Co 27987 INSURED INSURER B : Hudson Insurance Company 25054 Jim Dias Trucking Inc INSURER C: Travelers Property Casualty Co Of Am 25682 Bidwell Transportation INSURER D : 690 W 11 th Ave INSURER E : Chico CA 95926 INSURER F : k.VVtKACat, CERTIFICATE NUMBER:2021-09-30 TC 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. ILTR TYPE OF INSURANCE L BR POLICY NUMBER MMOffDDDY/YYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS -MADE X OCCUR AMA T E PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 51000 NS166394 10/10/2021 10/10/2022 PERSONAL & ADV INJURY $ 1,000,000 GENIAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY a PRO- a JECT LOC PRODUCTS - COMP/OP AGG S 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) S B ANYAUTO ALL OWNED X SCHEDULED AUTOS AUTOS X BUI-002773-08 10/10/2021 10/10/2022 BODILY INJURY Per accident ( ) $ X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident S 11000 Ded $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE S (Mandatory in NH) It yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C Motor Truck Cargo QT-660-4E969612-rrL-21 10/10/2021 10/10/2022 Limit: $750,000 Deductible $5, 000 DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy is named Additional Insured. Additional Insured applies to Auto Liability only. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosana 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 ric Roberson/TC ele" xz��� © 1988-2014 ACORD CORPORATION_ All rinhtc racarvari ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)