The URL can be used to link to this page

Home My WebLink AboutCOI - Summit Crane Company of Solano, Inc. - Expires 2023-10-07A4COR6r CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 1 lk.� 10/5/2022 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 endomement(s). PRODUCER Emery & Karrigan, Inc. 9880 SW Beaverton -Hillsdale Hwy Suite 202 Beaverton OR 97005 COONNTACT Molly McCarthy PNONE FAX Ex A/C No: EMAIL ADDRESS: CSrtS@eme arriaan.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: United Specialty Ins Co 12537 INSURED SUMMCRA-01 Summit Crane Company Of SOlano, Inc. Summit Crane; AAA Crane Services LLC INSURERS: National Interstate Insurance 32620 INSURER C: Scottsdale Insurance Company 41297 1 INSURER D: PO Box 6714 Vacaville CA 95696 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 13436t3321 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. ILTRR TYPE OF INSURANCE tN Do SBBR POUCYNUMBER MMIDDV EFF MMIDD ExP LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR Y DLJ-GL-00000016-02 10/7/2022 10/7/2023 EACH OCCURRENCE $1.000,000 R PREMISES occurrence $50.000 X MED EXP (Any one person) $ 5,000 Hock Liability X Over The Road PERSONAL& ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: [�] El GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 POLICY °ECT- LOC Employee Benefits $1,000,000 OTHER: B AUTOMOBILE LIABILITY CRA 5500045-05 lOf7/2022 10/7/2023 COMBINEDatletSINGLE LIMIT $1,000,000 BODILY INJURY Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY X AUTOS I BODILY INJURY P (Per accident) $ X NON -OWNED AUTOS ONLY AUTOS ONLY XIHIRED PROPERTYDAMAGE Per accident) $ 8 A UMBRELLALIAB X OCCUR V DLJ-EX-00000187-02 IOM2022 1077/2023 EACH OCCURRENCE $5,000.000 X AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DEC) I X I RETENTION$ $ WORKERS COMPENSATION ANDEMPLOVERS'LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIV E OFFICER/MEMBEREXCLUDED9 N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) Use, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ C Excess Auto Liability XLS2000668 10/7/2022 10/7/2023 Limo 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if mare apace is required) City Of Gilroy is named as additional insured when required by written contract per the attached endorsement. Excess policy is follow farm over the General and Employer Liability policies, including Hook Liability.; G'3C "C 17M(�D OCT 17 20YP City Of Gilroy 7351 Rosanna Street Gilroy CA 95020 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 Kam(/ z_1 CORPORATION_ All rinhfs rceerved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Commercial General Liability G LM 2033 03 15 DLJ-GL-00000016-02 Policy Number: Insured Name: Summit Crane Company of Solano. 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 03 15 Page 1 of 2 G LM 2033 0315 Exclusions use by any person or organization other than another contractor or With respect to the insurance afforded to the Additional subcontractor engaged in Insureds: performing operations for a A. This endorsement does not eliminate any principal as a part of the same other exclusions in this policy or the project; or CG0001 (10/01) policy form. c. The Named Insured completes B. This Additional insured Endorsement delivery, and/or assembly of does not apply to: equipment at the project site 1. Any damages arising from the pursuant to the terms of the bare "products completed operations lease agreement; or hazard"; d. The Named Insured's equipment 2. "Bodily injury" or "Property damage" has been assembled at the project arising out of the rendering of or site, if the work to be performed failure to render any professional by the Named Insured on behalf of architectural, engineering or the Additional Insured is limited to surveying services, including: the rental of equipment that must be set up or assembled at the a. The preparing, approving, orfailing project site. This exclusion does to prepare or approve maps, shop not apply to liability caused by the drawings, opinions, reports, Named Insured's acts or omissions surveys, filed orders, change during the disassembly or the orders or drawings and equipment. specifications; or Definitions b. Supervisory, inspection, architectural, or engineering As used in this Endorsement, the following definitions activities; apply: A. "Ongoing operations" shall mean that period of 3. "Bodily injury" or "property damage" time in which any insured is actively performing occurring after: work or operations on a project or in a. All the work on the project to be preparation for work on a project. That period performed by Named Insured on of time commences when the insured actively behalf of the Additional Insured begins work to fulfill its contractual obligations, has been completed; or and ends when their contractual obligations have been fulfilled. 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 ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. Authorized Representative Includes copyrighted material of Insurance Services Office, Inc., GLM 2033 03 15 with its permission. Page 2 of 2