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HomeMy WebLinkAboutCOI - Currie Equipment, LLC/J.S. Cole Inc. - Expires 2022-05-17CURREOU-01 SRSPATRA: CERTIFICATE OF LIABILITY INSURANCE DAT1912DIY 8/19/2021 1 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 CON ACT Chris Ferderer NA �: Pro_ 910 E Insurance Services PHONE N , Ext): (408) 510-5458 FA1 , No_ _ 910 E Hamilton Ave _( � � __�S)- #410 E-MAIL chris.ferderer roco. lobal i Campbell, CA 95008 _DQRUS- @P 9 ___ _ i_ INSURED Currie Equipment, LLCIJ.S. Cole Inc. J.S. Cole Inc. 320 Deer Island Lane Novato, CA 94945 INSURER A: Associated Industries Insurance Company, Inc.123140 INSURERS: California Automobile Insurance Company_ 38342 _ INSURER c : State Compensation Insurance Fund of California 1.35076 INSURER D : National Fire Insurance Co of Hartford 20478 INSURER E : INSURER F : _ rnv=RAnCQ f%C01rIC1f%A1rC 6111RA0=0. 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. ILTRNSR I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER PDD LIMITSOLICY EFF POLICY EXP A, X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S �'���'��� CLAIMS -MADE I X� OCCUR X AES1034812 07 5/17/2021 5/17/2022 DAMAGE TO RENTED _PREMISESAEa ocsutrsnce) I 100,000 S MED EXP _ 0 (Any one person)_ (_PERSONAL & ADV INJURY_ $ S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE 2,000,000 $ R POLICY CX� JFGT [- ] LOC _ _ I PRODUCTS-COMP;OP — - $_AGG _--2,000,000 OTHER: S B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 -(Ea-accident) S _ ANY AUTO BA040000035628 8/19/2021 8/19/2022 _ BODILY INJURY (Per person) _ — OWNED SCHEDULED � AUTOS ONLY X 'AUTOS I I BODILY INJURY Per accident ( $ H1RD NON -OWNED I AU OS ONLY I _). CPROPERTY DAMAGE (Per accident) $ AUTOS ONLY A X UMBRELLA LIAB EXCESS LIAB 1 X OCCUR CLAIMS -MADE EXA105313703 I 5/17I2021 5/17/2022 EACH OCCURRENCE 5,000,000 $ _ 5,000,000 AGGREGATE $ I DED JX ( RETENTION $ 01 I u $ C WORKERS COMPENSATION I X PER II OTH- I AND EMPLOYERS' LIABILITY Y J N ANY PROPRIETOR/EXCLU R/EXECUTIVE n 9132704-2021 STAIUSE_ L_ _ER__1_--_�_ 5/17/2021 5/17/2022 , E.L. EACH ACCIDENT 1,000,000 $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N (A , � 1,000,000 . I! yes, describe under i i II E.L. DISEASE - EA EMPLOYEE S_ DESCRIPTION OF OPERATIONS below � E.L. DISEASE - POLICY LIMIT S 1' 000'000 D 'Rented/Leased Equip. 6018120031 5/17/2021 5/17/2022 Per Item 750,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy is named as an additional insured on General Liability policy per the attached endorsement. City of Gilroy Rosanna St. Attn: Public Works Dept. 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 At;UKU Z5 (ZU161U3) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: AES1034812 07 COMMERCIAL GENERAL LIABILITY C G 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE I Name Of Additional Insured Person(s) Or Organization(s): I Location(s) Of Covered Operations All persons or organizations as required by written contract with the Named Insured I 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 the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 13 POLICY NUMBER: : AES1034812 07 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Location and Description of Completed Or anization s : Operations All persons or organizations where written contract with the named insured requires additional insured completed operations. This form does not apply to your work on "residential Drooerty" Information required to complete this Schedule, if not shown above, will be shown in the Declarations Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑