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Home My WebLink AboutCOI - Precision Heavy Haul, Inc. - Expires 2022-01-01P52(AX)2XW2 i16 AC40.RV CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 06/28/2021 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 1-801-505-6500 Hays Companies CONTACT NAME: Jennifer Stires PHONE 801-505-6500 FAX A/C No 801-505-6501 E-MAIL ADDRESS: jstires@hayscompanies.com 201 South Main Street INSURERS AFFORDING COVERAGE NAIC d Suite 2100 INSURERA:GENERAL SECURITY IND CO OF A2 20559 Salt Lake City, UT 84111 INSURED INSURERB: PENNSYLVANIA NANUFACTORERS ASSOC INS 12262 Precision Heavy Haul, Inc. INSURER COLD REPUBLIC UNION INS CO 31143 INSURER D : PO Box 797 INSURER E : INSURERF: Tolleson, AZ 85353 COVERAGES CERTIFICATE NUMBER: 62576628 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 SUOR POLICY NUMBER POLICY EFF mumoft_yyy) POLICY EXP (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 152101-10-27-99-4 01/01/21 01/01/22 EACH OCCURRENCE $ 1,000,000 CLAIMS MADE Fil OCCUR DAMAGE TO RENTED PREMISES Ea occurrence)S 50, 000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 GENt X POLICY JECT LOC PRODUCTS - COMP/OP AGG S 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 152101-10-27-99-4 01/01/21 01/01/22 COMBINED SINGLE LIMIT a accident S 11000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ C UMBRELLALL48 X OCCUR ORANXS000485-00 01/01/21 01/01/22 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 X EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ B WORKERS YERS'LI COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR(PARTNERIEXECUTIVE � OFFICERIMEMBEREXCLUDED? NIA 2020011027994 07/01/21 07/01/22 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Cargo ORANIM00022302 07/01/21 07/01/22 $10,000 Ded 51000,000 C Riggers Liability ORANIM00022302 07/01/21 07/01/22 $10,000 Ded 51000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF GILROY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 ROSANNA ST AUTHORIZED REPRESENTATIVE GILROY, CA 95020 USA 01988-2015 ACORD CORPORATION. All rights reserved. 19 1s ACORD 25 (2016103) JStires 62576628 The ACORD name and logo are registered marks of ACORD