Loading...
COI - Hatton Crane & Rigging Inc. - Expires 2021-05-01P5260028002 e CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/28/2020 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(les) 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 CA LIC 0B29370 1-925-244-7700 Edgewood Partners Insurance Centers (EPIC) [San Ramon - Branch ID 14394] P. 0. Box 5003 San Ramon, CA 94583 CONACT NAME: Certificates Department PHONE 925-244-7700 LAIC No Est): E-MAIL EPICcerts@epicbrokers.com ADDRESS: INSURER(S) AFFORDING COVERAGE INSURER A: ARCH SPECIAITY INS CO FAX No): 925-90 —0671 NAIC # 21199 INSURED Hatton Crane & Rigging Inc. 3643 Depot Road Hayward, CA 94545 COVERAGES CERTIFICATE NUMBER: 61012609 INSURER : ZURICH AMER INS CO 16535 INSURERC: AGCS MARINE INS CO 22837 INSURER D : INSURER E : INSURER F ; REVISION NUMB THIS 1S 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, INSRT TYPE OF INSURANCE !NW SUER POLICY NUMBER JMMJDD ) (MMIDDNEYYY) LIMITS A. X COMMERCIAL GENERAL LIABILITY X X DPC102010402 12/31/19 05/01/21 EACH OCCURRENCE $ 1,000,000 1 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (En occurrence) $ 100, 000 X GL DED: 810,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GNL AGGREGATE POLICY OTHER: LIMIT APPLIES PER: _� JECT I LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPlOPAGG $ 2,000,000 $ D AUTOMOBILE X R LIABILITY ANY AUTO OWNED — X ____ SCHEDULED AUTOS NON -OWNED AUTOS ONLY X X BAP302990201 07/01/20 05/01/21 Oa McNEeDtSNGLELIMIT 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 UXP103546900 12/31/19 05/01/21 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION $ $ H WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? I I (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA X WC302990101 07/01/20 05/01/21 X PER ER01 H E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 C Rigger's Liability MX293075480 12/31/20 05/01/21 $25,000 DED 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) City of Gilroy is named as additional insured per the attached endorsements. 30 day notice of cancellation. CERTIFICATE HOLDER City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 CANCELLATION 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) AHammonds-arc 61012608 © 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1,5260028002 SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 12/28/2020 NAME OF INSURED: Hatton Crane & Rigging Ina. Additional Description of Operations/Remarks from Page 1: Additional Information: SUPP (05/04) NA 3000 Executive Parkway Suiteso Son Ramon, mymoo pxon"9z5.xw.rnm F"xo25uoz.oxw RE: To: Whom it may concern From: EPIC Insurance Brokers & Consultants Named Insured: Hatton Crane &Rigging, Inc. o,ou/uzmmz;uxrynzyyuznz;VXp103s46uoV Policy Number(s): ..mirimocinim rAviojn,7cAori Notice of Cancellation Should the above described policy becancelled before the expiration date thereof,wewill mail 30 days written notice to the Certificate Holder; except 10 days' notice for non-payment of premium, Account Manager ----- 1 ® A� D CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/09/DD/Y 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 po icy, 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 James G Parker Insurance Associates License #0554959 P 0 Box 3947 Fresno CA 93650 NAME CT Nichole Fisher CISR PHONE (559) 222-7722 FAX Ne ; (559) 222-1724 (A/C, No, Ext): ( ) E-MAIL s: nfisher@jgparker.com ADDRE INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Crum & Forster Specialty Ins 44520 INSURED R and M Transport Inc 7780 Holsclaw Rd Gilroy CA 95020 INSURER B : Ohio Casualty Insurance 24074 INSURER c : Navigators Specialty Insurance Co 36056 INSURER D : Hanover Insurance Company 22292 INSURER E : INSURER F : CERTIFICATE NUMBER• 20-21 GL BA REVISION NUMBER: :+V V GRMVGO 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 SUER WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) - LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL0069481 12/09/2020 - 12/09/2021 EACH' OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 50,000 $ CLAIMS -MADE �/ X OCCUR MED EXP (Any one person) $ Excluded PERSONAL&ADVINJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES PRO JECT PER: LOC PRODUCTS-COMP/OPAGG $ 2,000,000 Designated Const. $ 2,000,000 B AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY X SCHEDULED AUTOS NON -OWNED AUTOS ONLY BA057548989 12/09/2020 12/09/2021. a yidEDtSINGLE LIMIT $ 1,000,000 _LELX BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE SE20EXC8280091C 12/09/2020 12/09/2021 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under Y / N NIA PER STATUTE _ ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ D Rented/Leased Equipment Contractors Equipment RHFD11358204 12/09/2020 12/09/2021 $1,000 Deductible $1,000 Deductible $200,000 Per Schedule DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may bee tached if more space is required) Re: Transportation Permit. City of Gilroy is named as additional insured as per form CG2033 1219 attached. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna St 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 Policy No: GL0069481 COMMERCIAL GENERAL LIABILITY Effective: 12/09/2020-12/09/2021 CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 33 1219