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COI - West Coast Cranes, Inc. - Expires 2024-04-27 (2)
ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 9/15/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~2AAI~CT Mollv McCarthy • Emery & Karrigan, Inc. PHONE I FAX 9880 SW Beaverton-Hillsdale Hwy IA/C No Extl: (A/C Nol: Suite 202 f~cfJ~ss: certs@emerykarrioan.com Beaverton OR 97005 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Clear Blue Specialty Insurance Company 37745 INSURED WESTCOA-01 INSURER B : Clear Blue Ins Co 28860 West Coast Cranes, Inc. INSURERC: Vanliner Insurance Company 21172 2144 O'Toole Ave San Jose CA 95131 INSURER D: Axis Surplus Insurance Company 26620 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER· 1094346122 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR l•••~n :..,.,n POLICY NUMBER IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY y AW03-RS-2300244-01 4/27/2023 4/27/2024 EACH OCCURRENCE $1,000,000 \---------D CLAIMS-MADE 0 OCCUR ~~~~~U9E~~~~~r?ence' $50,000 X Hook Uabillty MED EXP (Any one person) $5,000 ..__ ~ Over The Road ME PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Fl [8J PRO-DLoc PRODUCTS -COMP/OP AGG $2,000,000 POLICY JECT OTHER: $ B AUTOMOBILE LIABILITY AW02-RS-2300152-01 4/27/2023 4/27/2024 COMBINED SINGLE LIMIT $1,000,000 \---------/Ea accldentl ANY AUTO BODILY INJURY (Per person) $ \----------OWNED SCHEDULED X BODILY INJURY (Per accident) $ \---------AUTOS ONLY \---------AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY ..__ AUTOS ONLY /Per accident) $ A UMBRELLA LIAB ~ OCCUR y AW042300148-01 4/27/2023 4/27/2024 EACH OCCURRENCE $5,000,000 \--------- X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I I RETENTION$ $ C WORKERS COMPENSATION TWC5500102-01 9/18/2023 9/18/2024 X I ~ffruTE I I OTH- ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE [?] E.L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below D 2nd Layer Excess Liability P-001-001080832-01 4/27/2023 4/27/2024 Each Occurrence 5,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) County of Gilroy is named as additional insured when required by written contract per the attached endorsement. Excess policy is follow form over the General, Auto, and Employer Liability policies, including Hook Liability.; CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 950206141 AUTHORIZED REPRESENTATIVE USA I R~L-. © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD