The URL can be used to link to this page

Home My WebLink AboutCOI - Combined Transport, Inc. - Expires 2024-06-01. a. O CERTIFICATE OF LIABILITY INSURANCE �/ OAT5125/2023 V) 05/25/2023 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 McGriff Insurance Services, LLC 1800 SW First Avenue, Suite 400 CONTACT NAME: PHCNN Exr . 503-943-6621 C No): 503-943-6622 Portland, OR 97201 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A:The Travelers Indemnity Company of Connecticut 25682 INSURED Combined Transport, Inc. INSURER B : INSURER C : Blackwell Consolidation, LLC 5656 Crater Lake Highway P.O. Box 3667 INSURER D : INSURER E : Central Point, OR 97502 INSURER F : COVERAGES CERTIFICATE NUMBER:EA000VD4 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. HER TYPE OF INSURANCE ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MMIODM' POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y-630-071OR943-TCT-23 06/01/2023 06/01/2024 EACH OCCURRENCE S 1,000,000 CLAIMS -MADE r—xl OCCUR PREMISES lEa mcummoe $ 300,000 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SIN LE LIMIT Ea accident) S BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accitlent ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Par accitlent $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UI B CLAIMS -MADE DED RETENTIONS S WORKERS COMPENSATION I PER OTH- AND EMPLOYERS' LIABILITY Y/N TAT R E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERJMEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE S (Mandatory in NH) If ye describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT S $ S S 5 S DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more speed Is required) Certificate Holder is named as an Additional Insured as respects the ongoing operations of the Named Insured with respects to General Liability coverage where required by written and signed contract subject to policy terms, conditions, limits and exclusions. ��l SU Lr/ LS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MAY 3 0 2023 ACCORDANCE WITH THE POLICY PROVISIONS. City of Gillroy GILROY CIIYCLERK'S OFFIC THORIZED REPRESENTATIVE 7351 Rosanna St Gillroy, CA 95020 ACORD 25 (2016/03) loft The ACORD name and logo are registered marks of ACORD All rights reserved ACORO® CERTIFICATE OF LIABILITY INSURANCE DATEO5/25l212512O/YYYY) 023 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 McGriff Insurance Services, LLC 1800 SW First Avenue, Suite 400 CONTACT NAME: A/C.NNE.,Exit, 503-943-6621 A/C Not: 503-943-6622 Portland, OR 97201 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC R INSURER A:The Travelers Indemnity Company of Connecticut 25682 INSURED Combined Transport, Inc. INSURER 8: INSURER C: Blackwell Consolidation, LLC 5656 Crater Lake Highway P.O. Box 3667 INSURER D: INSURER E: Central Point, OR 97502 INSURER F : COVERAGES CERTIFICATE NUMBER:EA000VD4 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 ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIUD/YYYY LIMITS A X COMMERCIAL GENERALUABIUTY Y-630-071OR943-TCT-23 06/0112023 06/01/2024 EACH OCCURRENCE S 1,000,000 CLAIMS -MADE I -XI OCCUR PREMISES Ea occurrence S 300,000 MED EXP(Anyone person) S 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECTPRO- ❑ LOC PRODUCTS - COMP/OP AGG S 2,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS tid Per accident) BODILY INJURY ( ) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPEFlTY DAMAGE Per accident S a UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE Is EXCESS LIAB CLAIMS -MADE DIED I I RETENTION S S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' N/A TAT TE ER E.L. EACH ACCIDENT S E.L. DISEASE -EA EMPLOYEE S (Mandatory in NH) p yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S S S S S S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) Certificate Holder is named as an Additional Insured as respects the ongoing operations of the Named Insured with respects to General Liability coverage where required by written and signed contract subject to policy terms, conditions, limits and exclusions. MAY 3 0 20A GILROY CITY CLERK'S OFFICE City of Gillroy 7351 Rosanna St Gillroy, CA 95020 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) Pape 1 of 1 The ACORD name and logo are registered marks of ACORD All rights reserved