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COI - Keen Transport Inc. - Expires 2022-05-30
A400 � CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD/YYYY) 5/10/2021 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 Phone No.: (212) 488-0200 Fax No.: (212) 488-0220 EPIC Insurance Brokers & Consultants 350 Hudson Street — 41h Floor New York, NY 10014 CONTACT NAME: PHONE FAX aC No Ext : A1C Noll: E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC p INSURERA: Mitsui Sumitomo Insurance Company of America 20362 INSURED Keen Transport Inc. INSURER B: INSURER C: 1951 Harrisburg Pike Carlisle, PA 17015 INSURER D: INSURER E: j INSURER F: 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 AINSD WVD POLICYNUMBER LTR TYPE OFINSURANCE I I POLICY EFF POLICY EXP I LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1 'OCCUR YJ EACH OCCURRENCE Is DAMAGE TO RENTED PREMISES Ea occurrence) Is MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO- OTHER: � I� JECT 17 LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY I I I COMBINED SINGLE LIMIT Ea accident $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per person) ! BODILY INJURY (Per accident) S I S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below i I I I I ! ! _ STATUTE ERH E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYEEI $ E.L. DISEASE $ A OTHER Motor Truck Cargo Legal Liability CIM4112509 5/30/2021 5/30/2022 - POLICY LIMIT $1,000,000 Limit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence Only At__P4T1 r1/% Tr vC_1%11rwr%1 C nVL.U=m rAMrgl I ATlnl.I City of Gilroy 7651 Rosanna St 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 PROVISION ©1988-2014 ACORD CORPnRATInN All Arthfa .z%d_- -A ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD