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ACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDONYYY)
09/01/2020
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 endorsements).
PRODUCER CA LIC OB29370 1-925-798-3334
Edgewood Partners Insurance Center (EPIC)
[Concord - Broach ID 15469]
P.O. Box 5668
CONTACT NAME: Dena Sommerfield
PHONE FAX
.925-822-9041 AIC No: 925-609-5532
E-MAIL
ADDRESS.dens.sammerfieldL2epicbrokers.com
INSURER(SI AFFORDING COVERAGE
NAIL #
INSURER A: ARCH INS CO
11150
Concord, CA 94524
INSURED
INSURER B : LEXINGTON INS CO
19437
Norcal Rental Group, LLC
dba Cresco Equipment Rentals
INSURERC: NEW HAMPSHIRE INS CO
23841
318 Stealth Court
INSURER 0 :
INSURER E :
INSURERF:
Livermore, CA 94551
COVERAGES CERTIFICATE NUMBER: 60149553 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.
ILTR
TYPE OF INSURANCE
DL
ma
S R
WVD
POLICY NUMBER
MMI DI LICY EFF
MPOMILDD EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
X
X
PRPKGOOOI504
09/01/20
09/01/21
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE Fx_1 OCCUR
PREMISES Mai occurrence
$ 100,000
MED EXP (Any one person)
$ 10,000
PERSONAL 8 ADV INJURY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY u JEC° a LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE LIABILITY
X
X
PRPKG0001504
09/01/20
09/01/21
COMBINED SINGLE LIMIT e accident
S 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per a 'dent
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
$
% Phys DMg
B
X
UMBRELLA
X
OCCUR
080877677
04/01/20
04/51/21
EACH OCCURRENCE
$ 4,000,000
AGGREGATE
$ 4,000,000
A
EXCESS LIAB
CLAIMS -MADE
PRFX0059201-Auto Only
09/01/20
09/01/21
DED RETENTIONS
$
COMPENSATION
WORKERC AND
EMPLOYERS'
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNERIEXECUTIVE �
OFFICERIMEMBEREXCLUDED?
(Mandatory In NH)
N 1 A
X
WC15893698
04/01/20
04/01/21
X PER ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
Equipment Floater
PRPKG0001504
09/01/20
09/01/21
Spec Form
41,400,000
Deductible:
5,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is requlmd)
Re:
Additional Insured(s): City of Gilroy
When required by written contract, additional insured status with primary coverage applies to General Liability
and Automobile Liability. Waiver of subrogation applies to General Liability, Automobile Liability and
Workers' Compensation, all per the attached endorsements.
CERTIFICATE MOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building Department ACCORDANCE WITH THE POLICY PROVISIONS.
7351 Rosanna Street AUTHORIZED REPRESENTATIVE
Gilroy, CA 95020
USA
01988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
MeghanO
60149553
P526a12%(X)2
Norcal Rental Group, LLC dba Cresco Equipment
Rental Policy No.: PRPKG0001504
(2) explosion, smoke, or leaks from automatic fire protective systems caused by you;
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to premises while rented to you or temporarily occupied by you with the permission of the
owner. A separate limit of insurance applies to this coverage as described in Section III —
Limits of Insurance. a
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2. SECTION II — WHO IS AN INSURED is amended to include the following: Z
BROAD NAMED INSURED
Any organization, other than a partnership, joint venture or limited liability company, over which you
maintain an ownership or majority interest, will qualify as a Named Insured if there is no other
similar insurance available to that organization. However:
1. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you
formed, acquired or obtained majority interest in the organization; and
2. Coverage B does not apply to a "personal and advertising injury" arising out of an offense
committed before you formed, acquired or obtained majority interest in the organization.
No person or organization is an insured with respect to the conduct of any current or past
partnership, joint venture or limited liability company that is not shown as a Named Insured in the
Declarations.
The person or organization first named in Item 1 of the Declarations, by acceptance of this policy,
is authorized to act and agrees to act on behalf of all persons or organizations insured under the
policy with respect to all matters pertaining to the insurance afforded by the policy, including the
giving or receipt of notice of cancellation, the payment of premiums and deductibles, and the
receiving of return premium, if any.
-- ADDITIONAL INSUREDS — BY CONTRACT, AGREEMENT OR PERMIT
1. Any person or organization is an insured with whom you have agreed in writing in a contract,
agreement or permit that such person or organization be added as an additional insured to
this policy, provided such contract, agreement, or permit is:
a. Currently in effect or becoming effective during the term of this policy; and
b. Executed prior to the "bodily injury", "property damage", or "personal and advertising
injury".
However, the insurance afforded to such additional insured(s):
a. Applies only to the extent permitted by law; and
b. Will not be broader than that which you are required by the contract or agreement to
provide for such additional insured.
2. The following provisions and limitations apply to insurance provided to the additional
insured(s) described in Paragraph 1.a. and 1.b. above:
a. Such person or organization is an insured only with respect to their liability for "bodily
injury", "property damage" or "personal and advertising injury":
00 GL0796 00 04 17 Includes copyrighted material of Page 2 of 5
Insurance Services Office, Inc. with its permission.
INSURED COPY
Norcal Rental Group, LLC dba Cresco Equipment
Rental Policy No.: PRPKGO001504
KH U.
(1) Caused, in whole or in part, by your maintenance, operation or use of
equipment leased to you under an equipment lease with such person or rn
organization. This insurance does not apply to any "occurrence" which takes
place after the equipment lease expires.
(2) Arising out of your ownership, maintenance or use of that part of the premises N
leased to you by such person or organization. This insurance does not apply Z
to:
(a) Any "occurrence" which takes place after you cease to be a tenant in that
premises.
(b) Structural alterations, new construction or demolition operations
performed by or on behalf of such person or organization.
(3) Caused, in whole or in part, by:
(a) Your acts or omissions; or
(b) The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured.
Such person's or organization's status as an additional insured ends when your
operations for that insured are completed.
With respect to the insurance afforded these additional insureds, this insurance
does not apply to:
(a) "Bodily injury", "property damage" or "personal and advertising injury"
arising out of the rendering of, or the failure to render, any professional
architectural, engineering or surveying services, including:
(1) The preparing, approving, or failing to prepare or approve, maps,
shop drawings, opinions, reports, surveys, field orders, change
orders or drawings and specifications; and
(ii) Supervisory, inspection, architectural or engineering activities.
(b) "Bodily injury" or "property damage" occurring after:
(i) All work, including materials, parts or equipment furnished in
connection with such work, on the project (other than service,
maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has
been completed; or
(ii) That portion of "your work" out of which the injury or damage
arises has been put to its intended use by any person or
organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the
same project.
b. Unless otherwise noted above, such person's or organization's status as an additional
insured ends when their lease, contract, agreement or permit with you ends. With
00 GL0796 00 04 17 Includes copyrighted material of Page 3 of 5
Insurance Services Office, Inc. with its permission.
INSURED COPY
P52NAR)I9441:
X
Norcal Rental Group, LLC dba Cresco Equipment
3 Rental Policy No.: PRPKG0001504
N
W
respect to the insurance afforded to these additional insureds, this insurance does not
apply to any `occurrence" which takes place after the lease, contract, agreement or M
permit expires.
—> c. Regardless of whether other insurance is available to an additional insured on a
primary basis, this insurance will be primary and noncontributory if the written N
contract, agreement or permit between you and the additional insured specifically z
requires that this insurance be primary.
d. With respect to the insurance afforded to these additional insureds, the following is
added to Section III — Limits of Insurance:
(1) The most we will pay on behalf of the additional insured is the amount of
insurance:
(a) Required by the contract, agreement or permit; or
(b) Available under the applicable Limits of Insurance shown in the
Declarations;
whichever is less.
(2) This endorsement shall not increase the applicable Limits of Insurance shown
in the Declarations.
3. Paragraph 6. of SECTION III — LIMITS OF INSURANCE is deleted and replaced by the following:
6. Subject to 5. above, the Damage to Premises Rented To You Limit is the most we will pay
under Coverage A for damages because of "property damage" to any one premises, while
rented to you, or in the case of damage by fire, lightning, explosion, smoke, or leaks from
automatic fire protective systems, or any combination thereof while rented to you or
temporarily occupied by you with the permission of the owner.
4. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows:
a. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
The notification requirements of paragraphs 2.a. and 2.b. apply only when the "occurrence",
offense, claim, or "suit" is known to:
(1) you, if you are an individual;
(2) a partner or member if you are a partnership or joint venture;
(3) an officer or director if you are an entity other than a partnership, joint venture or
limited liability company;
(4) a member or manager if you are a limited liability company; or
(5) an insurance manager, risk manager or other "employee" you designate prior to loss
to give notice to us.
Knowledge of an 'occurrence", offense, claim, or "suit" by your agent, servant or "employee"
shall not in and of itself constitute knowledge to you unless an individual described in items
(1) - (5) of this provision has actual knowledge.
00 GL0796 00 04 17 Includes copyrighted material of Page 4 of 5
Insurance Services Office, Inc. with its permission.
INSURED COPY
Pt?frfNl�lSlNlj
Norcal Rental Group, LLC dba Cresco Equipment
Y Rental Policy No.: PRPKG0001504
b. FAILURE TO DISCLOSE HAZARDS OR PRIOR OCCURRENCES
The following is added to Condition 6. Representations:
d. Failure to disclose all hazards or prior 'occurrences" or offenses existing as of the a
inception date of this Coverage Part shall not prejudice the coverage afforded under N
this Coverage Part, unless an individual described in items 4.a.(1)-(5) of this provision >
has actual knowledge of all hazards or prior 'occurrences" or offenses.
- > c. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
Condition 8. Transfer of Rights of Recovery Against Others To Us is amended by adding
the following:
We waive any right of recovery we may have against any person or organization when such
waiver is required by a written contract that you have agreed to prior to loss.
S. SECTION V - DEFINITIONS is amended as follows:
EXTENDED DEFINITION OF "BODILY INJURY"
Paragraph 3. 'Bodily injury" is deleted and replaced by the following:
"Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental
anguish or death resulting from any of these at any time. Mental anguish means mental suffering
or emotional disturbances such as distress, fear, anxiety, depression, grief or psychosomatic
physical symptoms.
All other terms and conditions of this Policy remain unchanged.
Endorsement Number:
Policy Number: PRPKGO 0 015 0 4
Named Insured: NORCAL RENTAL GROUP, LLC DBA CRESCO EQUIPMENT RENTALS
This endorsement is effective on the inception date of this Policy unless otherwise stated herein:
Endorsement Effective Date: 9/ 1/ 2 0 2 0
00 GL0796 00 0417 Includes copyrighted material of Page 5 of 5
Insurance Services Office, Inc. with its permission.
INSURED COPY
ENDORSEMENT
M
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement changes the policy to which it is attached effective on the inception
date of the policy unless a different date is indicated below. N
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(The following "attaching clause" need be completed only when this endorsement is issued subsequent to
preparation of the policy).
This endorsement, effective 12:01 AM 04/01 /2020
forms a part of Policy No. WC 158-93-698
Issued to Norcal Rental Group dba Cresco Equipment Rentals
By New Hampshire Insurance Company
We have the right to recover our payments from anyone liable for an injury covered by
this policy. We will not enforce our right against any person or organization with whom
you have a written contract that requires you to obtain this agreement from us, as
regards any work you perform for such person or organization.
The additional premium for this endorsement shall be 2.00% of the total estimated
workers compensation premium for this policy.
WC 04 03 61 (11/90)
ENDORSEMENT
n
r,
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
n
This endorsement changes the policy to which it is attached effective on the inception
date of the policy unless a different date is indicated below. a
N
Z
(The following "attaching clause" need be completed only when this endorsement is issued subsequent to `U
preparation of the policy).
This endorsement, effective 12:01 AM 04/01/2020
forms a part of Policy No. WC 158-93-698
Issued to Norcal Rental Group dba Cresco Equipment Rentals
By New Hampshire Insurance Company
We have the right to recover our payments from anyone liable for an injury covered by
this policy. We will not enforce our right against any person or organization with whom
you have a written contract that requires you to obtain this agreement from us, as
regards any work you perform for such person or organization.
The additional premium for this endorsement shall be 2.00% of the total estimated
workers compensation premium for this policy.
WC 04 03 61 (11 /90)