Loading...
HomeMy WebLinkAboutCOI - Greyhound Lines, Inc. - Expires 2023-12-31 (2)A`GRO® CERTIFICATE OF LIABILITY I DATE (MM/DD/YYYY)NSURANCE 10/19/2023 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 Portland, OR 97201 CONTACT NAME: PHONE 503-943-6621 FAX 503-943-6622 (A/C No Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Bus Risk Retention Group 17324 INSURED Greyhound Lines, Inc. PO Box 660632 Dallas, TX 75266-0362 INSURER B :AIU Insurance Company 19399 INSURER C :National Union Fire Insurance Company of Pittsburgh, PA 19445 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:MTRZD7EW 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/VYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GLRRG01022-02 10/31/2023 12/31/2023 EACH OCCURRENCE $ 10,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 10,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- PER: GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG $ 10,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AL-RRG-001022-02 (AOS) 10/31/2023 12/31/2023 COMBINED SINGLE LIMIT (Ea accident) $ 10,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 1 J (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC015824967 (AOS) WC015824968 (CA) 04/01/2023 04/01/2024 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE - EA EMPLOYEE $ 3,000,000 E.L. DISEASE - POLICY LIMIT $ 3,000,000 B C Auto Liability AL7281073 (LA MI NM NY OR TX WA) AL7281072 (MA) 04/01/2023 04/01/2024 Combined Single Limit $ 10,000,000 $ $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Lease Code: L891352-01 L01 Re: 7250 Monterey Street, Gilroy, CA CERTIFICATE HOLDER CANCELLATION City of Gilroy Attn: City Administrator 7351 Rosanna Street Gilroy, CA 95020 USA 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) Page 1 of 2 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® EVIDENCE OF PROPERTY INSURANCE MTRZD7EW DATE (MM/DD/YYYY) 10/19/2023 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PHONE (NC. No Ext): McGriff Insurance Services, LLC 1800 SW First Avenue, Suite 400 Portland, OR 97201 503-943-6621 AX No): 503-943-6622 E-MAIL (A/C, ADDRESS: CODE: SUB CODE: AGENCY CUSTOMER ID #: INSURED Greyhound Lines, Inc. PO Box 660632 Dallas, TX 75266-0362 COMPANY Lexington Insurance Co. LOAN NUMBER EFFECTIVE DATE 04/01 /2023 EXPIRATION DATE 04/01/2024 THIS REPLACES PRIOR EVIDENCE DATED: POLICY NUMBER 14627205 CONTINUED UNTIL TERMINATED IF CHECKED PROPERTY INFORMATION LOCATION/DESCRIPTION Lease Code: L891352-01 L01 Re 7250 Monterey Street, Gilroy, CA 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED BASIC BROAD SPECIAL COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE Building/Business Personal Property - Occurrence Limit Vehicles - Physical Damage - Any One Vehicle Vehicles - Physical Damage - Any One Occurrence $10,000,000 $600,000 $10,000,000 $100, 000 $250,000 REMARKS (Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS City of Gilroy Attn: City Administrator 7351 Rosanna Street Gilroy, CA 95020 USA ADDITIONAL INSURED MORTGAGEE LENDER'S LOSS PAYABLE LOSS PAYEE LOAN # AUTHORIZED REPRESENTATIVE ACORD 27 (2016/03) Page 2 of 2 © 1993-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD