Loading...
HomeMy WebLinkAboutCOI - Ross Recreation Equipment Company, Inc. - Expires 2024-10-01ROSSREC-01 CERTIFICATE OF LIABILITY INSURANCE SRSPATRA3 DATE (MM/DD/` A AIAA IAA. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORL...., REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. yy 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 ProCo Insurance Services 910 E Hamilton Ave #410 Campbell, CA 95008 CONTACT Kim Christensen NAME: PHONE FAX (A/C, No, Ext): (408) 510-5487 (A/C, No): n-NSS: kim.christensen@proco.global INSURER(S) AFFORDING COVERAGE NAIL # INSURER A :Associated Industries Insurance Company, Inc. 23140 INSURED Ross Recreation Equipment Company, Inc. 100 Brush Creek Road, Ste 206 Santa Rosa, CA 95404 INSURER B : Artisan and Truckers Casualty 10194 INSURER c:Oak River Insurance Company 34630 INSURER D : INSURER E : INSURER F : COVERAGES • • 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRINS TYPE OF INSURANCE IADDL NSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X AES1029524-05 10/1/2023 10/1/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY AUTO OAUTOS HIRED x A AUTOSULED NON -OWNED AUTOS O(LY 973989580 10/2/2023 10/2/2024 CO aBINEDt) INGLE LIMIT (EaANY $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident)_ $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EXA1055294-05 10/1/2023 10/1/2024 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ DED X RETENT ON $ 0 Aggregate $ 2,000,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below y/N N / A ROWC432762 10/1/2023 10/1/2024 PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requi ed) Re: Service Agreement: Fire Department Personnel Testing. City of Gilroy, its officers, officials and employees are named as an additional insured on General Liability policy per the attached endorsement. CERTIFICATE HOLDER CANCELLATION City of Gilroy Its officers, officials and employees 7351 Rosanna Street 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 PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD