ITEM 4.9
CITY MANAGER' S REPORT
AUGUST 14, 2023 CITY COUNCIL REGULAR MEETING
ITEM: APPROVAL OF ADDITIONAL INDUSTRIAL SOLID
WASTE LICENSE FOR FISCAL YEAR 2023- 24
RECOMMENDATION: Adopt Resolution to Approve Annual Industrial Solid Waste License for Tony & Sons Trucking for Fiscal
Year2023- 24
SUMMARY:
The Legislature of the State of California, by enactment of the California lntegrated Waste Management Act of 1989 ( AB939), has acknowledged that it is within the public interest to authorize and require local agencies to make adequate provisions for solid waste management. The process requires cities and other local agencies to implement plans for source reduction, reuse, and recycling as part of their integrated waste management practices.
In an effort to comply with said legislation, the City of Lathrop adopted Municipal Code Chapter 8. 16 ( Garbage Collection and Disposal). Lathrop Municipal Code Section 8. 16. 140 requires any company that collects industrial solid waste in the City of Lathrop to annually apply for an Industrial Solid Waste Removal License.
The City' s current industrial solid waste haulers are Delta Container Corporation subsidiary of Allied Waste of San ) oaquin County dba Republic Services, Inc.), Stockton Scavengers, and Ground Force Enterprises. Staff requests the approval of the annual industrial solid waste license for Tony and Sons Trucking.
BACKGROUND:
Lathrop Municipal Code 8. 16. 140, Section ( A) requires any company who collects and removes industrial solid waste within the City of Lathrop to apply annually for an industrial solid waste removal license.
Tony and Sons Trucking will be required to pay an annual license fee in the sum of two thousand five hundred dollars ($ 2, 500) and the standard eleven percent ( 11%) of their annual gross receipts and $ 92 administration fee, which is set forth by Lathrop Municipal Code 8. 16. 140.
Tony and Sons Trucking have submitted their annual license application, fee, bonds, insurance, locations serviced, and their financial status report.
REASON FOR RECOMMENDATION:
To continue our efforts to meet the terms of the AB939 legislation, and continue implementing plans for source reduction, reuse, and recycling as part of our integrated waste management practices, staff recommends that City Council CITY MANAGER' S REPORT PAGE 2
AUGUST 14, 2023 CITY COUNCIL REGULAR MEETING
APPROVAL OF INDUSTRIAL SOLID WASTE LICENSE
approve an Industrial Solid Waste Removal License for Tony and Sons Trucking.
FISCAL IMPACT:
Revenue received from this company will be deposited into the Franchise Tax- Solid Waste Industrial revenue account number 1010- 15- 10- 319- 05- 05.
The license administration fee( s) in the sum of ninety- two dollars ($ 92) received from the company will be deposited into Parks, Recreation, and Maintenance Services Administration account number 1010- 30- 01- 341- 01- 01.
The annual license fee in the sum of two thousand five hundred dollars ($ 2, 500) received Tony and Sons Trucking will be deposited into the Franchise Tax- Solid Waste Industrial revenue account number 1010- 15- 10- 319- 05- 05.
ATTACHMENTS:
A. Resolution to Approve Annual Industrial Solid Waste License for Tony and Sons Trucking for Fiscal Year 2023- 24
B. Industrial Refuse Collection Application from Tony and Sons Trucking CITY MANAGER' S REPORT PAGE 3
AUGUST 14, 2023 CITY COUNCIL REGULAR MEETING
APPROVAL OF INDUSTRIAL SOLID WASTE LICENSE
APPROVALS:
3 Z3
Todd Sebastian Date
Director of Parks, Recreation and
Maintenance Services
l1 3
Cari Jam Date
Finance rector
7 z zb2 3
Salvador Navarrete Date
City Attorney
St en J. Salvatore Date
City Manager
RESOLUTION NO. 23-
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP APPROVING
THE ANNUAL INDUSTRIAL SOLID WASTE LICENSE FOR TONY AND SONS TRUCKING FOR FISCAL YEAR 2023- 24
WHEREAS, Lathrop Municipal Code 8. 16. 140, Section ( A) requires any company which collects and removes industrial solid waste within the City of Lathrop to annually apply for an industrial solid waste removal license; and WHEREAS, the City' s current haulers are Delta Container Corporation, Ground Force Enterprises, and Stockton Scavengers; and
WHEREAS, Staff requests the additional approval of the annual industrial solid waste license for Tony and Sons Trucking; and
WHEREAS, Tony and Sons Trucking will be required to pay an annual license fee in the sum of two thousand five hundred dollars ($ 2, 500) and the standard eleven percent ( 11%) of their annual gross receipts and $ 92 administration fee, which is set forth by Lathrop Municipal Code 8. 16. 140; and
WHEREAS, to continue our efforts to meet the terms of the AB939 legislation and continue implementing plans for source reduction, reuse, and recycling as part of their integrated solid waste management practices, staff recommends that City Council approve the Industrial Solid Waste Removal License for Tony and Sons Trucking; and WHEREAS, the following monies received from this company will be deposited as follows:
Annual gross receipt monies received will be deposited into the Franchise TaxSolid Waste Industrial revenue account number 1010- 15- 10- 319- 05- 05; License administration fee in the sum of ninety- two dollars ($ 92) will be deposited into Parks, Recreation, and Maintenance Services Administration account number 1010- 30- 01- 341- 01- 01;
Annual license fee in the sum of two thousand five hundred dollars ($ 2, 500) received will be deposited into the Franchise Tax- Solid Waste Industrial revenue account number 1010- 15- 10- 319- 05- 05.
NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Lathrop does hereby approve the Industrial Solid Waste License for FY 23- 24 with Tony and Sons Trucking.
The foregoing resolution was passed and adopted this 14th day of August 2023, by the following vote:
AYES:
NOES:
ABSENT:
ABSTAIN:
Sonny Dhaliwal, Mayor
ATTEST: APPROVED AS TO FORM:
Teresa Vargas, City Clerk Salvador Navarrete, City Attorney Cltj/ Of
Park, Recreation & Maintenance Services 390 Towne Cencre Drive, Larhrop, CA 95330 Phone ( 209) 941- 7370
www. ci.lathrop. ca. u s
INDUSTRIAL REFUSE COLLECTION
LICENSE APPLICATION
COMPANY NAME: So n s I
y^ VC , ( G•
ADDRESS:
PHONE/ FAX d 1 ° fo0• (( og` t
EMAIL: Ov yo no SaKS rv K'' 9 qt:,' t• Cdvh
The following license requirements are set forth by the City ofLathrop Municipal Code, Title 8 Health & Safety, Chapter S. 16 Garbage Collection & Disposal, Section 8. 16. 140 Industrral Solid Waste Removal— License Requirea
CHECK IF
ENCLOS
PROPOSED CUSTOMERS LIST( Names and Addresses):
SIGNED STATEMENTS FROM NEW INDUSTRIAL CUSTOMERS ADDRESSED TO CITY( See Municipal Code section 8. 16. 140. 2):
NUMBER, KIND, AND CAPACITY OF VEHICLES AND OTHER EQUIPMENT V Must be in compliance with all applicable air pollution control laws):
ORIGINAL PERFORMANCE BOND OR OTHER SECURITY ATTACHED ($ 25, 000) - ORMOST RECENT FINANCIAL STATEMENT AND/ OR AUDIT
The applicant shall provide proof of financial ability to provide service contemplated by the application)
1NSURANCE CERTIFICATE NAMING THE CITY, ITS OFFICES AND EMPLOYEES
AS AN ADDITIONAL INSURED
See Municipal Code section 8. 16. 140. I for Insurance Requirements):
LICENSE FEE ENCLOSED($ 2, 500)
ADMINISTRATION FEE($ 92)
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City of I'
Park, Recreation 8 Maintenance Services 390 Towne Cenrre Drive, Larhrop, CA 95330 Phone ( 209) 941- 7370
www. ci. lathrop. ca. us
TYPE OF WASTE REMOVAL SERVICE:
n r. vSZ r ) > d i(_ uS'
Thefollowing definitions are setforth by the City ofLathrop Municipal Code, Title 8 Health & Safety, Chapter 8. 16 Garbage Collection & Disposal, Section 8.16.010 " Industrial solid waste" means solid waste originating from mechanized manufacturing faci[ities, factories, refrneries and publicly operated treatment works.
APPLICANT SIGNATURES:
0 1 Io 2oZ3
SIGNATU DATE
t- t t i a L-t( 2
PRINT NAME
e s I, G o
TITLE
PROCESSED BY:
Iv?• o
SIGNATURE DATE
MELISSA STATHAKOPOULOS
MANAGER
PARKS, RECREATION& MAINTENANCE SERVICES
A ROVED BY:
lg
TO D SE TIAN DATE
DIRECTOR
PAR.KS, RECREATION& MAINTENANCE SERVICES
Tony& Sons Trucking, Inc.
Proposed Customer List:
Tesla Inc.
Joel Naguit
700 D' Arcy Pkwy, Lathrop CA 95330
Tony& Sons Trucking, Inc.
Here at Tony& Sons Trucking, Inc. all our vehicles are all in compliance with California Air Resources Board compliant better known as( CARB compliant).
Below is the list of vehicles that we will be running.
2016 Freight iner SD114 Roll Off Truck
2012 Freightliner Cascadia Roll Off Truck
ME RC HANT S
BON D1 NG COM PANY,
MERCHANTS BONDING COMf' ANY( MUTUAL) P. O. BOX 14498, DES MOINES, IA 50306- 3498 I' HONE: ( 800) 678- 8171 FAX: ( 515) 243- 3854
LICENSE AND PERMIT BOND
Bond No. 00131790
KNOW ALL PERSONS BY THESE PRESENTS:
That we, Antonio Lopez Jr dba Tony& Sons Trucking, Inc. of Stockton State of Califomia as Principal,
and Merchants Bonding Companv( Mutual) a corporation duly licensed to do business in the State of California
as Surety, are held and firmly bound unto
City of Lathrop
Obligee, in the penal
sum of Tµ'enty Five Thousand Dollars 25, 000. 00 D OLLARS.
THE CONDITION OF THE ABOVE OB IGATION IS SUCH, that whereas, the Principal has been licensed Waste Hauler- Compliance Only
390 Towne Centre Drive, Lathrop CA 95330
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all Amendments, appertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect for a period commencing on the 3rd day of July 2 23 , and ending on the 3rd day of Jufy
2026 ,
unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to the Principal, in care of the Obligee or at such other address as the Surety deems reasonable, and at the expiration of thirty- five( 35) days from the mailing of notice or as soon thereafter as permitted by applicable law, whichever is later, this bond shall ipso facto terminate and the surety shall thereupon be relieved from any liability for any subsequent acts or omissions of the Principal.
No right of action shall accrue on this bond to or for the use of any person or corporation other than Obligee named herein.
Dated this Sth
day of July 20 23
Antonio Lopez Jr dba Tony& Sons Trucking, Inc.
Principal
Countersigned ( if required):
f
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Antonio Lopez Jr rincipal
By:
Merc ts Bonding Company( Mutual)
BY C" w ' l
Sharon Smith, Attorney- in act
LP 0206( 2/ 15)
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validit of that document.
State of California
County of Sacramento
On July 5, 2023 before me, Kathleen Le, Notary Public,
insert name and title of the o cer)
personally appeared Sharon Smith
who proved to me on the basis of satisfactory evidence to be the person() whose name( s) is/ subscribed to the within instrument and acknowledged to me that 6/ she/ executed the same in is/ her/ authorized capacity( ier, and that byiai dher/ Tt csignature( s) on the instrument the person( s), or the entity upon behalf of which the person() acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. KATHLEEN LE It
COMM.+ 2380925 D
NOTARY PUBLIC CALIFOHNIA N COUNTY OFSACRAMENTO w
Comm. Explres OC7 31. 2025
Signature . v`'`' Seal •'°
e* • s
IV E RC H AN T`
60N DI NG COM ' ANY .,
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY( MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of lowa, d/ b/ a Merchants National Indemnity Company( in California only)( herein collectively called the Companies") do hereby make, constitute and appoint, individually, Sharon Smith
their true and lawful Attorney( s)- in- Fact, to sign its name as surety( ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
This Power- of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By- Laws adopted by the Board of Directors of Merchants Bonding Company ( Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2015.
The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys- in- Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." The signature of any authorized o cer and the seal of the Company may be affixed by facsimile or electronic tra smission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in- Fact includes any and all consents for the release of retained percentages and/ or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/ or its assignee, shall not relieve this surety company of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney- in- Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the CommissionerDepartment of Highways of the Commonwealth of Kentucky at least thirty( 30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this Sth day of July 2023 P
0 Nq'•• NG CQ A MERCHANTS BONDING COMPANY( MUTUAL)
PO ' • O.• P MERCHANTSNATIONALBONDING, INC.
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R' 2': • 0' G
P 99f9y,: d/ b/a MERCHANTS NATIONAL INDEMNITY COMPANY
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v': 2003 :;
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BY
President
STATE OF IOWA
COUNTY OF DALLAS ss.
On this Sth day of July 2023 , before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President of MERCHANTS BONDING COMPANY ( MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. 4 Kim Lee
i. mmiss on Numk- 7f, 2' 3? 0
1u G mrniss on Erpiros f
ti r l ^ 1
ru 14 2 14 t
Y Y i ._; , w....
tiNotary Public
Expiration of notary' s commission
does not invalidate this instrument)
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY( MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER- OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 5th day of July 2023 . t10Nq '• NG Cp f
RPoRq. o: e
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2003 :;,: ' a• 1933 .•"; Secretary
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7 .•
POA 0018 ( 10/ 22)
4coO
CERTIFICATE OF LIABILITY INSURANCE
DATE MM/ DD/ YYYY)
7/ 11/ 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 REPRESENTAT VE 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 CONTACT
InterWest Insurance Services, LLC NnMe: Daniel Sanchez
5 Sierra Gate Plaza A/ CNNo eXe: 916- 609- 8483 Ac r,o: 916- 784- 8116 Roseville CA 95678 aooRess: E- MAIL dsanchez iwins. com INSURER( 5) AFFORDING COVERAGE NAIC#
License#: oBo osa wsuReRn: Scottsdale Insurance Co. 41297 INSURED TONY& SO- 01 INSURER B: Tony& Sons Trucking, Ina PO BOX 1011 INSURER C:
French Camp CA 95231 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 669154670 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
ADDL SUBR POLICY EFF POLICY EXP INSURANCE POLICY NUMBER MM/ DD/ YYYY MMIDD/ YYYY LIMITS A X COMMERCIALGENERALLIABILITY CPS7825604 7/ 7/ 2023 7/ 7/ 2024 EACHOCCURRENCE 1, 000, 000 CLAIMS- MADE _ l OCCUR
PREMISES Ea occurence $ 300, 000
MED EXP( Any one person) $ 5, 000
PERSONAL& ADV INJURY $ 1, 000, 000
GEN' L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2, 000, 000 POLICY[ E LOC
PRODUCTS- COMP/ OP AGG $ 2, 000, 000
OTHER: g
AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $
Ea accidenl
ANY AUTO
BODILY INJURY( Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY( Per accident) $
HIRED NON- OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident S
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB _ __ CLAIMS- MADE AGGREGATE
DED RETENTION$
WORKERSCOMPENSATION PER OTHAND EMPIOYERS' LIABILITY
Y N
STATUTE ER
ANYPROPRIETOR/ PARTNER/ EXECUTIVE
OFFICER/ E. L. EACH ACCIDENT MEMBEREXCLUDED? NIA
Mandatory in NH)
E. L. DISEASE- EA EMPLOYEE $ If yes, describe under
DESCRIPTION OF OPERATIONS below E. L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES ( ACORD 107, Additlonal Remarks Schedule, may be attached if more spaca is requlred) Certificate Holder is listed as additional insured.
CERTIFICATE HOLDER 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.
City of Lathrop, its officers, and all employees
390 Towne Centre
Lathrop CA 95330 AUTHORIZEDREPRESENTATIVE
O 1988- 2015 ACORD CORPORATION. All rights reserved.
ACORD 25( 2016/ 03) The ACORD name and logo are registered marks of ACORD POLICY NUM6ER: cp^ 7sz5F o9 COMMERCIAL GENERAL LIABIUTY CG 2d 1012' t 9
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
G4NTRACTC RS - SCHEDULED PERS JN OR
QRGANIZATIaN
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILI7Y COVERAGE PART
SCHEDULE
Name Of Additlonal Insured Person( s
Or O anization s Location s Of Covered O eratio s
CITY OF Iu' THROP, ITS OFFICEkS nND ALL VFiRIGUi
EMPLUYEES
Information re uired to com lete this Schedula if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is ame ded to B. With respect to the insurance affo ded to these include as an additional insured the persan( 5) or additional insureds, the following additional organizafion( s) shown in the Schedule, but only exclusions apply:
with respect to liability for " bodily injury"', "property This insurance does not apply to " bodily injury" or damage" or " personal and advertisi g injury" properly damage" occurring after: caused, in whole or in part, by:
1. Your act5 or omissions; or
1. All work, including materials, parts or equipment
fumished in conneation with such work, on #he
2. The acts or omissions of those acting on your project ( ather than service, maint enance or behalf; repairs) to be perFormed by ar an behalf of the in the perFormance of your ongoing operations far additional insured( s) at the Iocati n of the the additional insured( s) at the location( s) vered operaUons has been cc mpleted; or deslgnated above. 2. That po tlon of " your work" out of whlch the However: injury or d mage rises has been put to its
intended use by any person or arganization
1. The insurance afforded to such additional other than another contractor or aubcontractor insured only applies to the extent permitted by engaged in performing operations for a principal law; and as a part of the same project.
2. If coverage providsd to the additional insured is
required by a contract or agreement, the
insurance afforcJed 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.
CG 20 70 1219 Insurancn Services O ce, Inc., 2018 Page 1 nf 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III— Limits dr I surance: whichever is less.
If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we limits of insurance. wili pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; o
A
CERTIFICATE OF LIABILITY INSURANCE
DATE( MMIDD/ YYW)
07/ 10/2023
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 ri hts to the certificate holder in lieu of such endorsement s.
PRODUCER CONTACT
NAME: Pro ressive Commercial Lines Customer and A ent Servicin Prog essive Insurance PO Box PHONE FAX 94739, Cleveland, OH 44101 AIC No Ext: 1- 800-444- 4487 C No:
ADDREss: Ea1AAIL progressivecommercial@email. progressive. com INSURER( S) AFFORDING COVERAGE NAIC#
INSURERA: p 0 feSSive Ex reSS InS 10193
INSURED
INSURER B:
TONY& SONS TRUCKING, INC
3523 WILMINGTON WAY INSURER C:
STOCKTON, CA 95219
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 749866569809813478D071023T202850 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 ADDL SUBR
LTR TYPE OF INSURANCE INSD VWD POLICY NUMBER
POLICY EFF POLICY EXP
MM/ DD/ YYYY) ( MMIDD/ YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
CLAIMS- MADE OCCUR A GE
PREMISES Ee occurrence
MED EXP( Any one person)
PERSONAL 8 ADV INJURY
GEN' L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
PR
POLICY JECT LOC PRODUCTS- COMP/ OP AGG
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO
Ea accidenl 1 000 000
OWNED SCHEDULED
BODILY INJURY Per erson
A AUTOS ONLY X AUTOS N N 007763840 03/28f2023 03/28/2024 BODILY INJURY Per accident HIRED NON- OWNED P OPERTY AMAGE $ AUTOS ONLY AUTOS ONLY er eccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS- MADE AGGREGATE
DED RETENTION$
WORKERS COMPENSA710N
AND H_ EMPLOYERS' LIABILITY Y/ N
ANYPROPRIETOR/ PARTNER/ EXECUTIVE N/ A E. L. EACH ACCIDENT $ OFFICER/ ME MBEREXCLUDED? Mandatory in NH)
E. L. DISEASE- EA EMPLOYE If yes, describe under
DESCRIPTION OF OPERATIONS below E. L. DISEASE- POLICV LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES( ACORD 101, Additional Remarks Schedule, mey be aNached if more spaoe is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TONY& SONS TRUCKING, INC ACCORDANCE WITH THE POLICY PROVISIONS. 3523 WILMINGTON WAY STOCKTON, CA 95219
AUTHORIZED REPRESENTATIVE
i; c
O 1988- 2015 ACORD CORPORATION. All rights reserved.
ACORD 25( 2016I03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:
LOC#:
A RO
ADDITIONAL REMARKS SCHEDULE Page 1 of ,
AGENCV
NAMEDINSURED
Progressive Insurance TONY& SONS TRUCKING, INC
POLICY NUMBER 3523 WILMINGTON WAY
007763840 STOCKTON, CA 95219
CARRIER
NAIC CODE
Progressive Express Ins 10193 EFFECTIVE DATE: 0 312 8/ 2 0 2 3
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Additional Coverages
Insurance coverage( s) Limits
Uninsured/ Underinsured Motorist 15, 000/$ 30, 000
Description of LocationNehicles/ Special Items
Scheduled autos only
2012 FRHT 125 1FUJGEDR5CSBM1575
Comprehensive 1, 000 Ded
Collision 1, 000 Ded
2015 FRHT SD4 1 FVMG3DV9FHGP9868....................................................................................................................................................
Comprehensive 1, 000 Ded
Collision 1, 000 Ded w/Waiver
2023 FORD F150 1FTFW1RG9PF648041
Comprehensive 1, 000 Ded
Collision 1, 000 Ded
Rental Reimbursement 40 Per Day($ 1200 Max)
Roadside Assistance Selected
Liability coverage may not apply to all scheduled vehicles.
ACORD 101 ( 2008/ 01)
02008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD