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COI - DeLong Heavy Haul, LLC - Expires 2025-01-01 (2)A 3 RCJ►' ------ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/13/2023 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 Emery & Kerrigan, Inc. 9880 SW Beaverton -Hillsdale Hwy Suite 202 Beaverton OR 97005 CONTACT NAME: Molly McCarthy PHONE FAX (A/C No Ext)• (NC, No): 503-941-8018 EADDARIEss: certs@emerykarrigan.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Interstate Insurance 32620 INSURED DIELCRA-01 DeLong Heavy Haul LLC 4880 Donovan Way North Las Vegas NV 89081 INSURER B : Arch Specialty Insurance Company 21199 INSURER C : Axis Surplus Insurance Company 26620 INSURER D: Old Republic Union Insurance Company 31143 INSURER E : Vanliner Insurance Company 21172 INSURER F : COVERAGES CERTIFICATE NUMBER:2131892047 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 INSURANCE ADDL INSD SUBR WVQ POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MMIDD/YYYYj LIMITS A X COMMERCIAL GENERAL LIABILITY Y SC00000490-00 11/1/2023 1/1/2025 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 X Hook Liability MED EXP (Any one person) $ Excluded X Over the Road ME PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS NON -OWNED AUTOS ONLY Y SCR 0000485-14 1/1/2024 1/1/2025 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAR EXCESS LIAB X O OCCUR CLAIMS -MADE Y UXP1053697-00 11/1/2023 11/1/2024 EACH OCCURRENCE $2,000,000 AGGREGATE $ 2,000,000 DED RETENT ON $ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N /A SCW 0000485-14 1/1/2024 1/1/2026 X PER OTH- ER EL, EACH ACCIDENT $ 1,000,000 E,L. DISEASE . EA EMPLOYEE $ 1;000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C A D 2nd Layer Excess Liability Trailer Interchange Motor Truck Cargo P-001-001214137-01 SCR0000490-12 ORANCP000202-00 11/1/2023 1/1/2024 11/1/2023 11/1/2024 1/1/2025 11/1/2024 EACH OCCURRENCE/AGG LIMIT ANY ONE OCCURRENCE 3,000,000 50,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Gilroy is named as additional insured when required by written contract per the attached endorsements. Excess policy is follow form over the General, Auto, and Employer Liability policies. CERTIFICATE HOLDER CANCELLATION City of Gilroy Rosanna St. Gilray 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 Number: SCR 0000485-14 COMMERCIAL AUTO NI CA 50 57 06 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ��U�Ux��U U�� U�� u�a~un��`��~ u ADDITIONAL n��o�u~m�~ nn��*u`w�� ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM TRUCKERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions Of the Coverage Form apply unless modified by this endorsement. Who Is An insured under COVERED AUTOS LIABILITY COVERAGE is amended to include as an "insured" any person or organization u are required tOadd noon additional insured on this policy under avVritten contract, agreement orpermit which must be: o. currently in effect or becoming effective during the term of the policy; and b.executed prior -to rthe "bodily injury" or"pr0pertydarDage."� The insurance provided to this additional insured is limited as follows: 1. That person or organization is an additional insured only with respect to liability arising out of your oparotions performed for that additional insured as specified in the written nontroct, agreement or permit. 2.Thw limits of insurance applicable to the additional insured are those in VV[ittaD oontroot, agnmonnent, permit or in the Declarations for this po|ioy, whichever are less, These limits ofinsurance are inclusive of and not in addition to the Limit of Insurance for Liability Coverage shown in the Declarations. 3.Covena ianot provided for "bodily injury" or"pnDpedwdammago"oriaingmutOftheno|aneS||ganceof the eddiUonolinsured. Any coverage provided hereunder will be excess over any other valid and collectible insurance ovm||aWu to the additional insured whether primary, exc*aa, contingent or on any other basis un|aoo a contract specifically requires that this insurance bmprimary. When this insurance is in excess, we will have no duty to defend the additional .insured against any "GUit" if any other insurer has oduty todefend the additional insured against that "8Ui1.' |fnoother insurer defends, we will undertake to do so, but vvewill be entitled to the additional insurer's rights against all those other insurers. All other terms and conditions of this policy remain unchanged. N| CA 50 57 06 14 Includes copyrighted material of Insurance Services Office, Inc.Page 1 of