Loading...
HomeMy WebLinkAboutCOI - Summit Crane Company of Solano, Inc. - Expires 2024-10-07DATE (MM/DD/YYYY) 10/5/2023 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). CONTACT NAME: Molly McCarthy - PHONE FAX (NC, No, Ext): (A/C, No): E-MAIL ADDRESS: certs@emerykarrigan.com 0 a 2 32620 37745 26620 INSURER(SIAFFORDING COVERAGE INSURER A: National Interstate Insurance INSURER B : Clear Blue Specialty Insurance Company INSURER C : Axis Surplus Insurance Company INSURER D : INSURER E : INSURER F : ACoRIJ CERTIFICATE OF LIABILITY INSURANCE PRODUCER Emery & Karrigan, Inc. 9880 SW Beaverton -Hillsdale Hwy Suite 202 Beaverton OR 97005 INSURED SUMMCRA-01 Summit Crane Company of Solano, Inc. Summit Crane; AAA Crane Services LLC PO Box 6714 Vacaville CA 95696 REVISION NUMBER: co co co co co co ao W Z W I- 0 LL_ H W 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. LIMITS CD O 0 o 0 0 Eft $ 50,000 I O 0 0 fR CD O 0 o 0 0 69 0 O 0 0 0 0 N M -- I $ 2,000,000 tR CD 0 0 CD o tR ER fR 69 69 00 0 0 O O IC) 69 O 0 0 O O CC) 69 . 69 . 69 00 0 0 O O N DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City Of Gilroy is named as additional insured when required by written contract per the attached endorsement. Excess policy is follow form over the General and Employer Liability policies, including Hook Liability.; EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE PER I OTH- STATUTE 1 I 1 ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT EACH OCCURRENCE/AGG POLICY EXP (MM/DD/YYYY) N CD r ___ N N N.- O 10/7/2024 10/7/2024 POLICY EFF (_MM/DD/YYYY) CO 0 N N. CO 0 N N- C), 01 0 N N- 0 10/7/2023 POLICY NUMBER AW03-RS-2300368-00 CRA 5500045-06 O O V N N O 0 `) N o Q 0 CD CD co CO Q 0 9 O d cc O N J ci oz 0 Q- > > Q Z TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Hook Liability Over The Road ME 0 POLICY X !VT- LOC OTHER: 7 171 Q J iiiJ O 0 F- a 0 D } < SCHEDULED AUTOS NON -OWNED AUTOS ONLY OCCUR CLAIMS -MADE S Z 0 Z w w w or O 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 2nd Layer Auto Liability X X UMBRELLA LIAB EXCESS LIAB J J Z Z 00 O Z0o0 O H 0<1< X X X X X X z ZH CO< CO Z 0 H J W 0 Z 0 w C J 0 2 W 0 LL H W 0 wZ 0 22 C W W J J W LU U� Z Um W J m J W J U a-00 WZ( — N W C wWy 0 2 U LU J > ~0 a C3 1-- W < < W ~ 2 2 Z H u. O OQHQw zKZ W 2 0 2 2 U rnQ AUTHORIZED REPRESENTATIVE N. A< a) fA L U) a) Z 0 O O U 0 O V in co N co Of The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03) POLICY NUMBER: AW03-RS-2300368-00 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE U, O a) Q 0 a) O U 0 (A C 0 C C1 O J Cn C 0 a) a y O C Cp _ Ca 'C a es O E) 0 -o Q 0 a) C 2 Cll — Cll CO CO +-• 0 0 CO - a (O - o Cll >, t0 .0 a) O CU U - CU LO N > C C CO OU O Q co [O 0 NJ N C C 0 C (1 CO > CO 0) C/) m C LO O p O L LO O O fn_ -Lpc) L c C 0 o_ — L p) L CO C o_ O o_ -C >' U -O Q .E v) Ct Information required to complete this Schedule, if not shown above, will be shown in the Declarations. a) Iti C aOC LO O > ll OL 76 O = t..0 �-O O -0 .- Q3 c Ev-c L p CT D O t I- C 0•C O CO U Qp•O Y•§ 8 L. •L 0L C CO CO O O O O C 0 -- N (U �O CO CO C Q 0- O C >' O E U `. O C O Q O) O @ a) O_ C C +• O co•E CT• U �-p 2 C O Q C 0 •O Q°> C C V f Q O O Ci L U ,L ••O u) O U L L 2 a) N C E a) 0 'r O p Q >, CA 4 O O `- a+ O co aU CQ a)E YCcc4- :e co fl— p (ll O c L C O CO•v) co 'O 'C.�.; O O C U p _- Tip: co; O Q a)E O 0 U CO CD H Q r m N O O •C C . To- .� o7 N O EL O C 3 a) L O-O - -• p a) 7 C2 NN En C0 C_O N- cn O C 7 o C .L. •C p N0 O 0 NC� cot 8..•o) O To a) 2 2cis o_�L,�a � a) C a). CO O Ca) co O Ec0 'cC-'D V_ -L a C�2 n O N 7 C A -C tOo oAO CO O O(llxO) co CO 0 u9 O L_cC CV UC cotC L 0 a) -L U cn CO L C''L t v) O -O O C oC— C pCOC O0 +OO_ Qy OO 0- OCCO p> O O-O 0 L o -o O 0 O 7 CO U NE E (UC -a> CO p L .cUOD LO C O n- O CO CO > o C— > p_ > 7 mC yO Q_ _O OO .O0 OCO p E C O OQ 73 O>N_0 N .0 L>, cn co — O O L ill .C CNN C6 Q p cO N0 CD 1:3O O0) CD 12) 0R .w 3 c 3 Q Cr) .0 O a co N .0 -p 2 % N © Insurance Services Office, Inc., 2012 CG20100413 insurance: 1. Required by the contract or agreement; or CG20100413 © Insurance Services Office, Inc., 2012 0 C1 ■ 0 ■ a.