COI - Bragg Investment Company, Inc. - Expires 2024-07-15Ali �® CERTIFICATE OF LIABILITY INSURANCE
DarE(mMmDYYrr)
7/10/2023
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(tes) 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
Emery & Kerrigan, Inc.
9880 SW Beaverton -Hillsdale Hwy
Suite 202
CONTACT
NAME: Shelley Romero
PHONE FAX
AIC Na:503-941-8018
A �RIEss: certs@emerykardgan.com
INSURER $ AFFORDING COVERAGE
NAIC#
Beaverton OR 97005
INSURER A: General Security Indemnity Company of Arizona
20559
INSURED BRAGINV-01
Bragg Investment Company, Inc.
dba Bragg Crane Service
INSURER B: United Specialty Insurance Company
12537
INSURERC: Pennsylvania Manufacturers Indemnity Cc
41424
INSURERD:
Bragg Crane & Rigging; Heavy Transport
INSURER E:
PO BOX 727
Long Beach CA 90801
INSURER F
COVERAGES CERTIFICATE NUMBER:2077384338 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
TYPEOFINSURANCE
ADDLS
R
POLICYNUMBER
POLICY EFF
fMMIDDfYYYYI
POLICY EXP
(MMIDDIYYYY)DMRS
8
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE II OCCUR
Hook Liability
Y
DLJ-GL-00000531-01
7/15/2023
7/15/2024
EACH OCCURRENCE
$1,000.000
PREMISES Ea occurrence
$100,000
X
MED EXP (Anyone person)
$10.000
X
Over The Road ME
PERSONAL &ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY F PEa LOC
OTHER:
GENERALAGGREGATE
$2,000,000
PRODUCTS-COMP/OP AGO
$2,000,000
Washin ton Step Gap
$1,000.000
C
A
AUTOMOBILELIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON-0WNED
AUTOS ONLY AUTOS ONLY
152301-10-97-34-4
XA-000002-03
7/15/2023
7/15/2023
7/15/2024
7/15/2024
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTYOAMAGE
Per accident
$
B
UMBRELLALIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
Y
DLJ-EX-00000G55-03
7/15/2023
7/15/2024
EACH OCCURRENCE
$5.000,000
X
AGGREGATE
$5,000,000
DED RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOWPARTNEWEXECUTIVE
OFFICER/MEMBEREXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
IPER OTH•
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Romanic; Schedule, may be attached if more apace Is required)
City of Gilroy is named additional insured when required by written contract per the attached endorsement. Excess policy is fallow form over the General, Auto,
and Employer Liability policies, including Hook Liability.
City of Gilroy
7351 Rosanna Street
Gilroy CA 95020
USA
u V I SLJ� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
JUL 17 2u23 ACCORDANCE WITH THE POLICY PROVISIONS.
GILROY CITY CLERK'S OFFICE
.Pr.!/ Z l
ACORD 25 (2016/03)
1988-2015
The ACORD name and logo are registered marks of ACORD
All rights reserved.
Commercial General Liability
GLM 2033 0315
Policy Number: DLJ-GL-00000531-01
Insured Name: Bragg Investment Company, Inc.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - ONGOING OPERATIONS OWNERS, LESSEES OR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SECTION II — WHO IS AN INSURED is amended to include
as an additional insured any person or organization that
the Named Insured has agreed to name as an Additional
Insured on its policy. However, such additional insured
status shall be granted only if such agreement was
evidenced "in writing" or by a written contract executed by
the Named Insured before the "occurrence" took place.
Furthermore, the conditions triggering such additional
insured status are governed as follows:
A. Such person or organization is an
Additional Insured only with respect to
liability for "bodily injury" or "property
damage" that is directly caused by the
Named Insured's performance of
"ongoing operations" for at least one of
the Additional Insureds.
B. However, where the Named Insured has
agreed in a written contract to specific
editions of ISO additional insured
endorsements or to specific language as
delineated in those ISO additional insured
endorsements, Paragraph A above is
deleted and replaced with either
paragraph B.1 or B.2 below.
Caused in Whole or in Part —
Where the Named Insured is required by
a written contract to make a person or
organization an Additional Insured using
the language from ISO Additional Insured
forms CG2033 or CG2010 with edition
dates of July 2004 (07/04), or April 2013
(04/13) such person or organization is an
Additional Insured only with respect to
liability for "bodily injury" or "property
damage" that is caused in whole or in
part by the Named Insured's
performance of "ongoing operations" for
at least one of the Additional Insureds;
OR
2. Arising Out Of —
Where the Named Insured is required by
a written contract to make a person or
organization an Additional Insured using
the language from ISO Additional Insured
forms CG2033 or CG2010 with edition
dates of 2001, 1993 or 1985, such person
or organization is an Additional Insured
only with respect to liability for "bodily
injury" or "property damage" arising out
of the Named Insured's performance of
"ongoing operations" for at least one of
the Additional Insureds.
C Additionally:
1. The insurance afforded to any Additional
Insured only apples to the extent
permitted by law; and
2. If coverage provided to the Additional
Insured is required by contract or
agreement an in writing, the insurance
afforded to such additional insured will
not be broader than that which the
Named Insured is required by the
contract or agreement to provide for
such Additional Insured.
GLM 2033 0315 Page 1 of 2
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G LM 2033 0315
Exclusions
With respect to the insurance afforded to the Additional
Insureds:
A. This endorsement does not eliminate any
other exclusions in this policy or the
CG0001(10/01) policy form.
B. This Additional insured Endorsement
does not apply to:
1. Any damages arising from the
"products completed operations
hazard";
2. "Bodily injury" or "Property damage"
arising out of the rendering of or
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, filed orders, change
orders or drawings and
specifications; or
b. Supervisory, inspection,
architectural, or engineering
activities;
3. "Bodily injury" or "property damage"
occurring after:
a. All the work on the project to be
performed by Named Insured on
behalf of the Additional Insured
has been completed; or
b. That portion of the work
performed by he Named Insured,
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; or
c. The Named Insured completes
delivery, and/or assembly of
equipment at the project site
pursuant to the terms of the bare
lease agreement; or
d. The Named Insured's equipment
has been assembled at the project
site, if the work to be performed
by the Named Insured on behalf of
the Additional Insured is limited to
the rental of equipment that must
be set up or assembled at the
project site. This exclusion does
not apply to liability caused by the
Named Insured's acts or omissions
during the disassembly or the
equipment.
Definitions
As used in this Endorsement, the following definitions
apply:
A. "Ongoing operations" shall mean that period of
time in which any insured is actively performing
work or operations on a project or in
preparation for work on a project. That period
of time commences when the insured actively
begins work to fulfill its contractual obligations,
and ends when their contractual obligations
have been fulfilled.
ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED.
Authorized Representative
Includes copyrighted material of Insurance Services Office, Inc.,
GLM 2033 0315 with its permission. Page 2 of 2