Loading...
HomeMy WebLinkAboutCOI - Reimer Transport, Inc. - Expires 2024-08-01P52600:?X1 Xl2 ______...., >® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 07/31/2023 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 ADDIT IONAL 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}. PRODU CER 1 -801-505-6500 CONTACT Melody Jensen NAM E: Brown & Brown Inc. (~g N~~ ~xi'· 801-505-6500 I ;,ifc Nol: 801 -505-6501 E-MAIL melody.jensen@bbrown.com 257 East 200 South ADDRESS: Suite 700 INSURER/SI AFFORDING COVERAGE NAIC# Salt Lake City, UT 84111 INSURERA: NATIONAL INTERSTATE INS CO 32620 INSUR ED INSURER B: Reimer Transport, Inc. Weldon Trucking, Inc. INSURERC: 2002 w Nielsen Ave INSURER D : INSURER E : Fresno, CA 93706-1337 INSURER F; COVERAGES CERTIFICATE NUMBER: 69358065 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I NSU RED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQU IREMENT, 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 DESCRIB ED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD L SUBR POLICY EFF POLICY EXP LTR IN~D ,-,n POLICY NUMBER IMM/DD/YYYY\ IMM/D D/YYYY\ LI MITS A X COMMERCIAL GENERAL LIABILITY BMG 0000002-02 08/01/23 OB/0 1 /2 4 EACH OCCURRENCE $1,000,000 1--~ CLA IMS-MA DE 0 OCCU R DA MAGE TO RENTED 1--PREMISES /Ea occurrence! $ 50,000 1-- MED EXP (Any one person ) $10,000 PERS ON AL & AD V IN JURY 1-- s 1,000,000 GEN 'L AGGREG ATE LI MIT APPLIES PER : GENERA L AGGREGATE $ 2,000,000 H POLICY □m~r D Loc PRODUCTS -CO MP/OP AG G $ 2,000,000 OT HER : $ A AUTOMOBILE LIABILITY BMA 0000002-02 08/01/23 08/01/24 ~~~:~d~~llNGLE LI MIT $1,000,000 1-- ANY AUTO BODI LY INJU RY (Per perso n) $ 1--OWNED X SCHEDU LED BODI LY INJUR Y (Per accide nt) $ -AUTOS ONLY ,__ AUTOS X HIRED NON-OWNED PROPERTY DA MAGE $ AUTOS ONLY 2_ AUTOS ON LY (Per ac cldentl $ UMBRELLA LIAB H OCCU R EACH OCCURRENCE $ - EXCESS LIAB CLA IM S-MADE AGGREG ATE $ OED I I RE TENTION s $ WORKERS COMPENSATION I mTUTE I I OTH - AND EMPLOYERS' LIABILITY ER Y/N ANYPROPRIETOR/PART NER/EXECUTIVE □ E.L. EACH ACC IDENT $ OFF ICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L. DISEASE -EA EMPLO YE E $ If yes, des cri be under E.L. DISEASE -POLIC Y LIMI T $ DESCR IPT ION OF OPERAT IONS below A Cargo CRC 5500081-04 08/01/23 08/01/24 $10,000 Ded 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEH ICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is re quired) CERTIFICATE HOLDER City of Gilroy 7351 Rosanna Street Gilroy, CA 95020-6141 I ACORD 25 (2016/03) MJensen 69358065 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TH EREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE PO L ICY PROVISIONS. AUTHORIZED REPRESENTATIVE OSA ~ © 1988-2015 A CORD CORPORATION. All rights reserved . The ACORD name and logo are registered marks of ACOR D - ti~ ~ t.L. ,,., t.L. 0 "' .,., r- > z LL] P:i'.!6002:iOO'.! COMMERCIAL GENERAL LIABILITY CG 20 011219 THIS ENDORSEMENT CHANGES THE POLIC:Y. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCI: CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVIERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured . CG 20 011219 © Insurance Services Office , Inc ., 2018 Page 1 of 1 cc \I) [.l. 0 '"'' \I) c-- > z I.Ll P526<XL!K0U2 POLICY NUMBER: BMG 0000002-02 COMMERCIAL GENERAL LIABILITY CG 2010 1219 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 Oraanization(s) Location(s) Of Covered Operations Where required by written contract or agreement provided such contract was executed prior to the date of loss . 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 include as an additional insured the person(s) or organization{s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused , in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the 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 . B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 • - a . . LI.. '1') LI.. 0 ,:r, •n r--- > z u:J ■- P52600~Ji(l(l2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -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; whichever is less . This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office , Inc., 2018 CG 20 10 12 19 cc V, Cl. 0 rC\ V, t"- ~ ~ J>52600 21':(X)2 Policy Number: BMA 0000002-02 COMMERCIAL AUTO NI CA 50 57 06 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following : BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM TRUCKERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. Who Is An Insured under COVERED AUTOS LIABILITY COVERAGE is amen ded to include as an "insured", any person or organization you are required to add as an additional insured on this po licy under a written contract, agreement or permit which must be: a. currently in effect or becoming effective during the term of the policy; a nd b. executed prior to the "bodily injury" or "prope rty damage." The insurance provided to this additional insured is limited as follows: 1. That person or organization is an additional insured only with respect to liability arising out of your operations performed for that additional insured as specified in the written contract, ag reement o r permit. 2. The limits of insurance applicable to the additional insured are those in written contract, agreement, permit or in the Declarations for this policy, whicheve r are less. These li mits of insurance are inclusive of and not in addition to the Limit of Insurance for Liability Coverage shown in the Declarations . 3. Covera9e is not provided for "bodily injury" or "property damage" arisin g out of the sole negligence of the additional insured . Any coverage provided he reunder will be excess over any other valid and co llectible insurance available to the additional insured whether primary, excess, contingent or on any other basis unless a contract specifically requires that this insurance be primary . When this insurance is in excess , we will have no duty t o defend the additiona l insured against any "suit" if any other insurer has a duty to defend the additional insured against that "su it." If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insurer's rights against all th ose other insurers. All other terms and conditions of this policy remain unchanged . NI CA 50 57 06 14 Includes copyrighted material of Insurance Serv ices Offi ce, Inc. with it s permission. Copyright, Insurance Services Office, Inc. Page 1 of 1 - r~ ~ {.L., 'f"l {.L., 0 'Sj" .,., r-- ~ u.l P.5260028002 POLICY NUMBER: BMG 0000002-02 COMMERCIAL GENERAL LIABILITY CG 24 041219 THIS ENDORSEMENT CHANGES THE POLIC:Y. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PAR T ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DES IGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGN ATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVIERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Any person or organizat ion against who m you have agreed to wa ive you r right of recove u-y in a wri tten contract or agreemen t pro vided such contract was Ei xecuted prio r to the date of loss. !rifo~n,ationrequired to complete this Schedule, if not showQ~aj)ove, will be shown in the Decla rat ions. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV -Conditions: We waive any right of recovery against the person(s) or organ ization(s) shown in the Schedule above beca use of payments we make under this Coverage Part. Such waiver by us applies only to t he extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss . This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 041219 © Insurance Services Office, Inc., 2018 Page 1 of 1 '° .,., u... 0 'St" .,., r--- ~ l,I.l P526001t;001 POLICY NUMBER: BMA 0000002-02 COMMERCIAL AUTO CA 04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL V. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US {WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below . Named Insured: REIMER TRANSPORT, INC WELDON TRUCKING, INC. Endorsement Effective Date: Name(s) Of Person(s) Or Organization(s): SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery m a written contract or agreement provided such contract was executed prior to the date of loss. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization . CA 04441013 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forms TM - m . LI.. ,r, LI.. 0 ,r, 'f'l r-- > z µ.J