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COI - Titan Crane & Rigging, Inc. - Expires 2025-01-01P5260028002 itif CERTIFICATE OF LIABILITY INSURANCE 12/21/20 3YY) 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 1-801-505-6500 Brown & Brown Inc. 257 East 200 South Suite 700 Salt Lake City, UT 84111 CONTACT Jennifer $tires NAME: PHONE FAX LAIC. No. Ext): 8015056500 No): 801-505-6501 ADDRESS: ]ennifer.etires@bbrown.com INSURER(S) AFFORDING COVERAGE NAIC fl INSURER A: NATIONAL INTERSTATE INS CO 32620 INSURED Titan Crane & Rigging, Inc. P.O. Sox 30996 8tookton, CA 95213 INSURER B : ARCH SPECIAITY INS CO 21199 INSURERC: INSURER D: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER: 70225390 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 !NM TYPE OF INSURANCE ADOL ^D IND SUER MD POLICY NUMBER POLICY EFP (MMIDD/YYYY) POLICYEXP (MMIDDIYYYY) A X COMMERCIALGENERALLIABILITY SCO 0000515-05 01/01/24 01/01/25 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I X I OCCUR DAMAGE SO RENTED PREMISES (Ea occurrence) $ 100, 000 MED EXP (Any one person) $ 5, 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L 1 AGGREGATE POLICY OTHER: LIMIT APPLIES PER: X 1 jEC J LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AOG $ 2, 000, 000 $ A AUTOMOBILE X — LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _____ _ _... SCHEDULED AUTOS NON -OWNED AUTOS ONLY SCR 0000515-05 01/01/24 01/01/25 COMBINED SINGLE LIMIT sock tl $ 1,000,000 _(Ea ,. BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ B --X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE UX910500860-01 01/01/24 01/01/25 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBEROPRIETOEXCLUDEp ECUTIVE (Mandatary hi NH) If yes, describe under DESCRIPTION OF OPERATIONS below N N N 1 A SCW 0000515-07 01/01/24 01/01/25 X PER STATUTE 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 A Riggers Liability SCG 0000515-05 01/01/24 0l/0l/25 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The city of Gilroy is listed as additional insured in regards to the general liability and auto liability per the attached forms. Coverage is primary and noncontributory per attached forms. A Waiver of Subrogation in favor of the additional insured in regard to the auto liability, general liability, and workers compensation per attached forms. FICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 I 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 7 -^-, ACORD 25 (2016/03) TStires 70225390 ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD