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HomeMy WebLinkAboutCOI - Roberson & sons Insurance Services, Inc. - Expires 2024-11-03A� o' CERTIFICATE OF LIABILITY INSURANCE DATE 1(M �20z3') 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 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 Roberson & Sons Insurance Services, Inc. P.O. Box 491719 Redding CA 96049-1719 CONTACT NAME: (A/C, Ext): (530)365-1009 FAX No): (530)247-7808 E-MAIL receptionist@roberson-ins.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Kinsale Insurance Company 38920 INSURED Ernie's Mobile Home Transport Inc PO Box 1510 Marysville CA 95901 INSURER B : United Financial Casualty Company 11770 INSURER C:Lloyds Of London 15792 INSURER D : INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:2023-11-01 AG - 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/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 0100033173-8 11/3/2023 11/3/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES PREMISES (Ea occurrence) $ , 000 X $1,000 BI & PD Deductible MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE X POLICY OTHER: LIMIT APPLIES PRO JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ AUTOMOBILE _ X - LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X _ X _ SCHEDULED AUTOS NON-OVVNED AUTOS 00977228 11/2/2023 11/2/2024 CO aBI EDtSINGLE LIMIT (EaB $ 1 , 000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( P $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ 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 PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C Motor Truck Cargo MM10866A23 11/3/2023 11/3/2024 LIMIT $100,000 DEDUCTIBLE $10 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Cargo coverage includes Double -Wide & Triple -Wide Endorsements. City of Gilroy is named as Additional Insured. Additional Insured applies to General Liability only. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosana 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 Eric Roberson/AG ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD