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HomeMy WebLinkAboutCOI - Norcal Rental Group, LLC - Expires 2021-09-01PS,l�wt?&w�2 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; N 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 N fl 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 z (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)