Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
COI - Maxim Crane Works, LP - Expires 2023-06-30
• 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/28/2022 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 CONTACT NAME: Aon Risk Services Central, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 Pittsburgh PA Office (A/C. No. Ext): I (A/C. No.): EQT Plaza - Suite 2700 E-MAIL 625 Liberty Avenue ADDRESS: Pittsburgh PA 15222-3110 USA INSURED Maxim crane works, LP 7512 Pacific Ave Pleasant Grove CA 95668 USA INSURER(S) AFFORDING COVERAGE NAIC INSURER A: Zurich American Ins Co 16535 INSURER B: American Zurich Ins Co 40142 INSURER C: Berkshire Hathaway Specialty ins Company 22276 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570094149052 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. Limits shown are as requested INSH LTR A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X I OCCUR X CONTRACTUAL LIABILITY GEN'LAGGREGATE LIMIT APPLIES PER: PROPOLICY X JEC I J LOC JECT OTHER: A AUTOMOBILE LIABILITY C B X - ANY AUTO OWNED — AUTOS ONLY X HIRED AUTOS — ONLY X UMBRELLA LIAB EXCESS LIAB X SCHEDULED AUTOS NON -OWNED AUTOS ONLY X OCCUR CLAIMS -MADE DED (RETENTION WOtIKEr § 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 AUUL' SUBH INSD WVD POLICY NUMBER GL09138/6/16 N/A TRI< 8979261 22 t'OLICY EFh PULICY EXP (MM/DD/YVYY1 JMM/DD/YYYY) 06/3U/2U22 06/30/2023 LIMITS EACH OCCURRENCE DAMAGE IU HEN IED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL& ADV INJURY IGENERAL AGGREGATE PRODUCTS - COMP/OP AGG 06/30/2022 06/30/2023 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) 47XSF10002210 06/30/2022 06/30/2023 WC897921423 EACH OCCURRENCE AGGREGATE $5,000,000 $100,000 $10,000 $5,000,000 $12,000,000 $5,000,000 $2,000,000 $10,000,00(f $10,000,000 Holder Identifier : * * 06/30/2022 06/30/202-I X PER STATUTE I OTH- ER E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 E.L. DISEASE -POLICY LIMIT $1, 000, 000 — DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is I :ouirer+t City of Gilroy is included as an Additional insured for General contract with the Named Insured. CERTIFICATE HOLDER City of Gilroy 7351 Rosanna St. Gilroy CA 95020 USA REM - Liability policy as and M written JUL 1 3 2022 GILROY CITY CLERICS OFFICE CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ..r POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C-51 321 .SGKrrm Miar tsfivelxd IGWLs024af ' 2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD MSC#17755 Aon Risk Services PO Box 1447 Lincolnshire, IL 60069 MDG2022 00002817 01 iurlillluiiillllllliiuilullllillllullurllllilluu4llllullluiiil City of Gilroy 7351 Rosanna St. Gilroy CA 95020 Certificate No: 570094149052 City of Gilroy 7351 Rosanna St. Gilroy CA 95020 USA Friday, July 1, 2022 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570094149052) for future renewals: - Visit aon.com/e-cert; or - Utilize the OR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 I Aon P.O. Box 1447 Lincolnshire, IL 60069 nnnnnn R9nafrom7nt1nsPP