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Home My WebLink AboutCOI - Stinger Transport Company - Expires 2024-08-15ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY1T 08107/2023 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 polio ((les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions 790 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 Sentry Insurance 1600 NorPoiDrive CONTACT San Custana Service PHONE FAX h 800-473-68 , 800-514-7191 Stevens Print, W154461 EMAIL ADDRESS: businessproducts, directasen .can INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Sentry Select Insurance Company 21160 INSURED INSURER B : Sentry Insurance Company 24980 Slinger Transport Company 569 S Van Suran St INSURER C INSURER 0: Placentia, CA 92870 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1242600 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 OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTHTYPE OF INSURANCE ADDL INSR SUER WVO POLICY NUMBER POLICY EFF M/DDN POLICY EXP MAID LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1.000,000 CLAIMS -MADE E] OCCUR DAMAGETO RENTED PREMISES occurrence S 100.000 MED EXP (Any me person) S 5,000 A X 4949236004 08/15/2023 oB/15/2024 PERSONAL &ADV INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000.000 POLICY JECT LOC X PRODUCTS - COMP/OP AGG $1,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ffaacccalrb S 1.000,000 X BODILY INJURY (Par person) 5 ANY AUTO A AUTOSONLY SSCCHHEEDULED 4949236005 08/15/2023 08/15/2024 BODILY IWURY(Per accident) S PROPERTY DAMAGE Per accident) S HIRED NON -OWNED AUTOS ONLYAUTOS ONLY S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S5,000,000 A X EXCESS LIAB CLAIMS -MADE 4949236006 OB/15/2023 08/15/2024 AGGREGATE S 15,OOD,000 DED RETENTIONS PRODUCTS - COMP/OP AGG S15,Ooo,0o0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE [y] OFFICER/MEMBER EXCLUDED? N / A 4949236012 08/15/2023 08/15/2024 PER pTH X STATUTE ER E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE $1.000.000 (Mandatoryin NH) N yes, describe under DESCRIPTION OF OPERATIONS below, EL DISEASE - POLICY LIMIT S1,000,000 Employee Benefits Occurrence Umd S W0,000 Eras & Omissions Annual Aggregate Umit S 1,0M.No A ERRORS &OMISSIONS 4949238007 09/15/2023 08/15/2024 Deductible S 1,000 A0 Other Errors & Occurrence Limit $ 250,000 Omissions Annual Aggregate Umit S 500,000 Deductible S 1.000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if more space is required) Refer to attached MGYNO ,,, RD JUN 12 2023 GILROY CITY CLERK'S OFFICE CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna St Gilroy, CA 95020-6141 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 ACORD 25 (2016/03) 4949236 Sentry Select Insurance Company 3 00004 0000000448 2315E N A 0 Page 1 of 2 A 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 06/07/2023 87CB56AA-3373-4AE1-AE98-OFC4FAC00166 OD27020044370064937895020619651 AC RDA AGENCY CUSTOMER ID: XkW=3771 LOC #: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Scott Deaver NAMED INSURED Stinger Transport Company POLICY NUMBER 4949236004 CARRIER Sentry Select Insurance Company NAIC CODE 21180 EFFECTIVE DATE: 08/15/2023 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabift Insurance General Liability CITY OF GILROY IS NAMED ADDITIONAL INSURED.. ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved. 4949236 The ACORD name and logo are registered marks of ACORD 06/07/2023 Sentry Select Insurance Company ACORDr CERTIFICATE OF LIABILITY INSURANCE ��-• DATE (MM/OD/YYYY) 06/07/2023 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, sub act 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 Sentry Insurance 1800 North Point Drive CONTACT NAMPs Sentry Customer Service PHONE . 8 0-473-66 FAX • 800-514-7191 EMAIL ADDRESS: businessproducts direct0ser .com Stevens Point, WI 54481 INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: Sentry Select insurance Company 21180 INSURED INSURER 0: Stinger Transport Company 569 S Van Buren St INSURER C INSURER D : Placentia, CA 92870 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1242600 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 INSR S� POLICY NUMBER BIMMIDDY EFF POLICY EXP LIMITS CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES aoccurrence) S MED EXP (Any one person) $ PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT [:] LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT (Ea accidenb $ BODILY INJURY (Per person) S BODILY INJURY (Per acciden# S PROPERTY DAMAGE Per accident$ $ UMBRELLA LIAR EXCESS LIAB E OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE 5 DED RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A I PER STATUTE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A L:[�POLLUTION LIABILITY CLAIMS -MADE OCCUR N / A 4949236013 08/15/2023 08/15/2024 AGGREGATE LIMIT $ 1.000,000 POLLUTION INCIDENT LIMIT $ 1.000,000 CLEANUP COSTS -COVERED LOCATION LIMIT $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 Rosanna St Gilroy, CA 95020-6141 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 4949236 Sentry Select Insurance Company 5 00004 0000000446 23158 N A 0 Page 1 of 2 m 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 06/07/2023 88764FD6-16A2-4E4C-AD07-E9F4273BAED9 0027020044370064490295020819651 (1) A Zb 0 a (D v m � w o � N c co 0 o m n 0 3 O = � N 3 a °v c O m Z • 7D a r m 0 3 M v � m m 0 0 9 3 N D .,� co x ' m • m O C n m o a d � m o °� r_ v T a � m m D 0 a N D v r- m v g n o n w C � D m r � � m � n m J Z o C) 0 m m Z 0 o g z A m O 0 m '0 N � N W p m N a IN 4n POLICY NUMBER: 4949236004 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations City of Gilroy All Locations Description: City of Gilroy Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", This insurance does not apply to "bodily injury" or " property damage" or "personal and advertising "property damage" occurring after: injury" caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or law; and subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the same is required by a contract or agreement, the project. insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG20100413 4949236 Sentry Select Insurance Company 7 00004 0000000446 23158 N A 0 OO Insurance Services Office, Inc., 2012 64CEAD83-B94B-4207-8561-2C0683A9ECFS 0027020044370064209895020619651 Page 1 of 2 06/07/2023 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 2010 0413 4949236 06/07/2023 Sentry Select Insurance Company Dealer Sentry Select Insurance Company 4400 E 53rd St Davenport, IA 52807 0000000446 City of Gilroy 7351 Rosanna St Gilroy, CA 95020-6196 .t �� 1 00004 0000000446 23158 N A 0 7ED76960-629E-4A2C-9265-D971CB467CC0 0027020044370064111895020619651 Dealer Sentry Select insurance Company 4400 E 53rd St Davenport, IA 52807 0000000440 City of Gilroy 7351 Rosanna St Gilroy, CA 95020-6196