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ACORO® CERTIFICATE OF LIABILITY INSURANCE
is i
DATE (M9/20YYY)
12/2/2022
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(les) 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
Willie Towers Watson Northeast, Inc.
C/o 26 Century Blvd
P.O. Box 305191
CONTACT NAME: Willis Towers Watson Certificate Center
PHONE 1-877-945-7378 ZIFAX
NC. No,; 1-SBB-467-2378
D L . certificates@willie.com
Nashville, TN 312305191 USA
INSURERS AFFORDING COVERAGE
NAIC$
INSURER A: XL Insurance America Inc
24554
INSURED
Saaona Transportation, Inc dba Dev Road Tranxpott, Inc.
7211 Two Smoke. Way
INSURERS: ACE American Insurance Company
22667
Indemnity Insurance Company
INSURER C: Y omp y of North Amazi
43575
INSURER D: National Onion Fire Insurance Company of P
19445
P.O. Box 16050
Nie.oula, NT 59808
INSURER E :
INSURER F:
COVERAGES CFRTIFICATF NIIAARFR- W27569479 0CVIQV3M MIIIUI
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 TYPEOFIN8URANCE INSODL SUBH ---- POLICY EEFF POLICY SIP
POUCYNUMBER MMAO/YY MMND/YY UMTr6
x COMMERCIAL GENERAL LUIBIUTY
CLAIMS -MADE FX7 OCCUR
EACH OCCURRENCE
$ 21000,000
DAMAGE rO RENTED
PREMISES Ea nce
$ 2,000,000
MED EXP (An one teen)
g 5, 000
A
PERSONAL AADV INJURY
$ 2,000,000
Y j US00096086LI23A 01/01/2023
01/01/2024
GENT AGGREGATE LIMIT APPUES PER:
POLICY ❑X jRET ❑LOC
GENERAL AGGREGATE
g 4,000,000
PRODUCTS COMPIOP pOG
S 41000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ES aodEenil
$ 5,000,000
BODILY INJURY (Per person)
S
�( ANY AUTO
B
OWNED SCHEDULED I NKr810770907 12/31/2022
AUTOS ONLY AUTOS
HIRED AUTOS
AUTO$ ONLYAUTO$ ONLY
12/31/2023
BODILY INIURY(Per accident)
g
PROPERTYDAMAGE
(Per acCWenl
$
UMBRELLAUAB
J.
OCCUR
EACHOCCURRENCE
$
AGGREGATE
$
EXCESS UAW
CLAIMS -MADE
DED_
RETENTIONS
C
WORKERSCOMPENSATION
AND EMPLOVERS'LIABILITY
ANYP90PRIETORIPARTNERIEXECUTIVE YIN
OFRCEPJMEMSEREN
(Mandatory in NN)
II yes, desc ON 10"
DESCRIPTION OF OPERATIONS below
N!A
I
WC5074241
I
x P R .
STATUTE ER
E.L. EACH ACCIDENT
FL.DISEASE EAEMPLOYEE
2,000,000
S 2.000, 000
E.L. DISEASE - POLICY LIMIT
S 2,000,00o
D
Cergo regal Liability
I
02-543-70-86 '101/01/2023
01/01/2024
LAmit of Insurance
$200,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe MUched If more specs 19 required)
Workers Compensation Includes USL&H and Maritime Coverage
Certificate Holder is named as an additional insured as their interests may appear with respects to General and Auto
Liability Coverage.
CITY OF GILROY
7351 ROSANNA ST
GILROY, CA 95020
—'I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
JAN 2 ZoC3 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
CITY CLERK'S OFFICE AUTHORIZED REPRESENTATIVE
caikTTT:bI�i$i
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SR ID: 23531096 "TCH: 2788752
All Hants
202 7538