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HomeMy WebLinkAboutCOI - Precision Heavy Haul, Inc.- Expires 2025-07-01ACOR Di CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDO/YYYY) 06/28/2024 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 Brown & Brown Insurance Services, Inc. 257 East 200 South Suite 700 Salt Lake City, UT 84111 USA CONTACT NAME: Jennifer Stires PHONE 4A(C NSF); 801 505-6500 E-MAIL ADDRESS: ennifer.stires@bbrown.com J FAX (A/C, No): 801-505-6501 INSURER(S) AFFORDING COVERAGE NAIC R INSURERA: GENERAL SECURITY NATL INS CO 39322 INSURED Precision Heavy Haul, Inc. PO Box 797 Tolleson, AZ 85353 INSURERS: PA Manufacturers Assoc Ins . /Gen Sec Indem.22 62 INSURERC:OLD REPUBLIC UNION INS CO 31143 INSURERD:PENNSYLVANIA MANUFACTURERS ASSOC INS 12262 INSURERE;ARCH SPECIALTY INS CO !21199 INSURER F : COVERAGES CERTIFICATE NUMBER: 751085507 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 TYPE OF INSURANCE NSD SUBR POLICY NUMBER POLICY EFF POLICY EXP IMMIDDIYYYY) (MMlODIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY OCCUR GL-000012-03 07/01/29 07/01/25 EACH OCCURRENCE s 1,000,000 CLAIMS -MADE - X DAMAGE TO RENTED PREMISES (a occurrence) $ 100,000 [---7 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENLAGGREGATE X_ LIMIT APPLES PER: GENERAL AGGREGATE $ 2,000,000 POLICY _ JECPROT LOC OTHER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO SCHEDULED AUTOS NON -OWNED AUTOS ONLY 1524011027994/XA00016402I 07/01/24 07/01/25 COMacciBINdent)SIEDNGLELIMIT $ 1,000,000 (Ea X BODILY INJURY (Per person) $ OWNED AUTOS ONLY BODILY INJURY (Per accident) $ HIRED I AUTOS ONLY I PROPERTY DAMAGE (Per accident) $ I $ C UMBRELLA LIAB I X OCCUR CLAIMS -MADE ORANXS000485-03 i 07/01/24 07/01/25 EACH OCCURRENCE $ 2,000,000 X EXCESS LEAK AGGREGATE I s 2,000,000 DEC I RETENTIONS $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORJPARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS N NIA ORANCP000156-03 07/01/24 07/01/25 X STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 N E.L. DISEASE - EA EMPLOYEE $ 1,000,000 below I1, 000 , 000 E.L. DISEASE - POLICY LIMIT $ E C C Excess Liability Cargo Riggers Liability UXP1055753-00 ORANCP000156-03 ORANCP000156-03 07/01/24 07/01/25 07/01/24 07/01/25 07/01/24 I07/01/25 $2mm xs $2mm $10,000 Ded $16,000 Ded $2,000,000 5,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached II more space Is required) CERTIFICATE HOLDER CANCELLATION CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020 USA 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 "- i, ACORD 25 (2016/03) JStires 751095507 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD