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HomeMy WebLinkAboutCOI - System Transport, Inc. - Expires 2025-01-01P5260028002 Ar:'e;: R CERTIFICATE OF LIABILITY INSURANCE 1TE(M/2023Y) 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 I3Y 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 pollcy(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 lleu of such cndcrsoment(s). PRODUCER 1-406-52 -5 39 6 American Trucking and Transportation Insurance Company A RiskRetention Group PO Box8509 Missoula. MT 59807-8509 Ken Cr:lpIZen Cp TACT Tricia Crippen PHONE FAX (A/c, Ng Ex)' (406) 523-3934 (A/c, No (406) 523-3935 A pR SS; cart ioatea@atticrrg.com INSURER_S)AFFORDING COVERAGE NAIC# INSURERA: AMERICAN T & T INS CO RRG 11534 INSURER _. System Transport, Inc. T-W Transport,_ Intl, PO Bon 3456 Spokane, WA 99220 INSURER B INSURERC: INSURERD: INSURER R INSURER F CIaRTIFICATE NUM R: 7023 412 REVISION NUMBER: THISIS INDICATED. CERTIFICATE EXCLUSIONS .._____ TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS �. _....-...__..,_......._ -P_LI INSii LTR _._._._„__ .__ TYPE OF INSURANCE AM 1 . ; SO ' ,r, , _.,,_ _ _ .�...___-__ PQLICY NUMBER POLICY EFF IMMIDDIYYYY) _PUt.14Y EXP (MMIDDIYYYYL _ _ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ .__ COMMERCIAL GENERAL LIABILITY DAMAGEPREMISESE RENTED (Ea occurrence) $ 1 CLAIMS•MADE [__1 OCCUR MED EXP (Any one person) $ __ _ ._ �._ PERSONAE & ARV INJURY _ GENERAL AGGREGATE ~ _ _ __ $ GENT, AGGREGATE LIMIT APPLIES PER: 1 POLICY r j1 izi 1 j1 LOC PRODUCTS - COMP/OP AGG $ $ AUTOMpBILELIABILITY X ATT,OT4124 01/01/24 01/01/25 COMb1NU'D8INGLELIMIT (Ea accident) $ 1, 000, 000 X —" ANY AUTO BODILY INJURY (Per person) $ __ Al.). OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON'OWNED AUTOS PRO-PER7I�DAMAGE (Per accident) $ X 'Trailer $75,00Q $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ MD RETENTON $ $ WORKERS COMPENSATION ANI) EMPLOYERS' LIABILITY WC STATU- TORY LIMITS OTH- ER YIN ANY PI'tOPRIETOR/PARTNER/EXECUTIVE ""'" N I A EL, EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory In NH) EL, DISEASE - EA EMPLOYEE If yes describe under DESCRIPTION OF OPERATIONS bolow E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 901, Additional Remarks Schedule, If mare apace Is required) CITY OP 0ILROY IS NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR WITH RESPECTS TO AUTO TaxABILITY, PER POLICY NfNU)F3, CONDITION'S, k1XCLUSIONS, ENDORSEMENTS AND LIMITATIONS. CERTIFICATE HOLDER CITY 0E (Amoy ENGINkISRXNG DIVISION 7351 ROSANNA ST GILRo'K, (:A 95020 USA 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. ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) kre5Tf. 70235412 The ACORD name and logo are registered marks of ACORD