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Home My WebLink AboutCOI - F.S. Trucking Company Inc - Expires 2022-06-13To: 14088460500 Page: 2 of 3 2021-06-10 19:02:14 UTC 18317222932 From: Hansen Insurance N r , ® A� RD CERTIFICATE OF LIABILITY INSURANCE JY DATE (AIMlDDYYY) 06/1 o/zo21 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 endorsement(s). PRODUCER AM£ N: Christian Lauesen PHONE (831)722-9666 AIC. No): (831)722-2932 o Ext Hansen Insurance Agency ADDRESS: chris@hanseninsurance.com License #0831440 INSURERS AFFORDING COVERAGE NAIC #� 800 East Lake Avenue INSURER : UNITED FINANCIAL CASUALTY COMPANY 11770 Watsonville CA 95076 INSURED INSURER B : INSURER C : F.S. Trucking Company Inc INSURER D: FRANK SMITH TRUCKING INSURER E : 1770 S. Smith Ave. INSURER F : San Jose CA 95112 COVERAGES CERTIFICATE NUMBER: 2021-2022 GL, AL, REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HADE'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. ILTRR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMIDD/YYYY POLICY A IIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000.000 CLAIMS -MADE �OCCUR r PREMISES (Ea occurrence S 100,000 MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY $ 1,000,000 A Y 02525351-6 06/13/2021 0611312022 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000.000 R LOC POLICY 0JECT PRODUCTS - COMPtOP AGG 3 2.000,000 3 OTHER: AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT tEa accident) $ 1,000 000 BODILY INJURY (Per person) $ X ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y 02525351-6 06/1312021 06/13/2022 BODILY INJURY (Per acement) $ PROPERTY DAMAGE$ Per acadent HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLA UAB OCCUR EACH OCCURRENCE 3 AGGREGATE $ EXCESS UAB CLAIMS -MADE DED I I RETENTION S S WORKERS CONIPENSA71ON AND EMPLOYERS* LIABILITY Y 1 N I PER STATUTE E RH EL EACH ACCIDENT $ ANY PROPRIETORIPARTNER.'EXECUTIVE ❑ OFFICEWMEMSER EXCLUDED? (Mandatory in NH) NIA E L. DISEASE - EA EMPLOYEE 3 It yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Motor Truck Cargo J Automobile Physical Damage 02525351-6 06113/2021 06113/2022 Per Conveyanc15100.050 Comprehenisve Deduct12.500 Oeduct'$1.000 Collision DeducVS1.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 10l, Additional Remarks Schedule, may be attached if more space is required) Limits at policy inception. 'Except 10 days notice for non-payment of premium. Certificate holder is named as an Additional Insured under the General & Automobile Liability policy as per the attached form 2366 (02/11). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna St. AUTHORIZED REPRESENTATIVE Gilroy CA 95020 tzozow cv" 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD To: 14088460500 Page: 3 of 3 2021-06-10 19:02:14 UTC 18317222932 From: Hansen Insurance Form 2366 (02/11) Blanket Additional Insured Endorsement This endorsement modifies insurance provided by the Commercial Auto Policy, Motor Truck Cargo Legal Liability Coverage Endorsement, and/or Commercial General Liability Coverage Endorsement, as appears on the declarations page. All terms and conditions of the policy apply unless modified by this endorsement. If you pay the fee for this Blanket Additional Insured Endorsement, we agree with you that any person or organization with whom you have executed a written agreement prior to any loss is added as an additional insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to such additional insured only as a person or organization liable for your operations and then only to the extent of that liability. This endorsement does not apply to acts, omissions, products, work, or operations of the additional insured. Regardless of the provisions of paragraph a. and b. of the "Other Insurance" clause of this policy, if the person or organization with whom you have executed a written agreement has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non-contributory with that other insurance when the written contract or agreement between you and that person or organization, signed and executed by you before the bodily injury or property damage occurs and in effect during the policy period, requires this insurance to be primary and non- contributory. In no way does this endorsement waive the "Other Insurance" clause of the policy, nor make this policy primary to third parties hired by the insured to perform work for the insured or on the insured's behalf. ALL OTHER TERMS, LIMITS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED.