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COI - American Heavy Moving and Rigging, Inc. - Expires 2023-08-01�'—",1 AMEHE-3 '` ..---- CERTIFICATE OF LIABILITY INSURANCE �� OP ID: B O04/03ATE /DD/YYYY) 04/03/2023 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 909-980-4211 Silverstone Insurance Services Advantage Insurance PO Box 1200 Rancho Cucamonga, CA 91729 Robert W. Young CONTACT PHONE (NC, No, Ext):909-980.4211 I FAX (A/c, No): E-MAIL sarah@silverstoneins.com ADDRESS' INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Interstate Ins. Co. 32620 INSURED American Heavy Moving and Rigginq, Inc. 1391 East Phillips Blvd. Pomona, CA 91766 INSURER B: RSUI Indemnity Company 22314 INSURER C: AGCS Marine Insurane Company 22837 INSURERD: INSURER E : INSURER F : • 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 INSR SUER WVD POLICY NUMBER POLICY EFF POLICY EXP IMM/DD/YYYYI IMM/DD/YYYY! LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X BMG000000500 08/01l2022 08/01/2023 DAMAGE TO RENTED PREMISES (pa occurrence) 50,000 $ MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X 72f LOC PRODUCTS - COMP/OP AGG - 2,000,000 OTHER: Ded/Occ _ $ 10,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ ANY AUTO BMA000000500 08/01/2022 08/01/2023 BODILY INJURY (Per person) $ OWNED AUTOS ONLY X SCHEDULED AUTOS BODILY�INJURY (Per accident) $ X AUTOS ONLY X Ep AUTO yy ONLY (Pe?aooldenlDAMAGE $ I $ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS -MADE NHA101786 04/02/2023 04/02/2024 AGGREGATE $ 6,000,000 DED I X RETENT ON $ N/A $ A WORKERS COMPENSATION AND XOTH- STATUTE ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N BMC000000500 08/01/2022 08/01/2023 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N ! A E.L. DISEASE. -EA VIRLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT 1,000,000 $ C C MTC/Rigger Liab Rnt/Lsd Equip/IM MXI93057408 SML93057405 DED $1000 04/02/2023 04/02/2023 04/02/2024 04/02/2024 MTC/Rgrs Limit 2,500,000 150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certholder is named as Add'I Insured per #CG2012 1219 attached. **THIS CERTIFICATE SUPERSEDES CERTIFICATE PREVIOUSLY ISSUED** MR@��WD APR -62023 GILROY CITY CLERK'S OFFICE CERTIFICATE HOLDER CANCELLATION CITYGIL City of Gilroy 7351 Rosaanna St. Gilroy, 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 Insured:American Heavy Moving and Rigging, Inc. POLICY NUMBER: BMG 0000005 00 COMMERCIAL GENERAL LIABILITY CG 20 121219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Where required by written contract or agreement provided such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG20121219 © Insurance Services Office, Inc., 2018 Page 1 of 1