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HomeMy WebLinkAboutWest Coast Cranes, Inc (2)AcoRt�►`� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 9/15/2023 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(les) 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 Emery & Karrigan, Inc. ' 9880 SW Beaverton -Hillsdale Hwy Suite 202 CONITAGT NAME: Molly McCarthy PHONEFAX AA/C.No Ext): AIC No): AUDRIESS: certs@emerykarrigan.com INSURER(S) AFFORDING COVERAGE NAIC# Beaverton OR 970055 INSURER A: Clear Blue Specialty Insurance Company 37745 AW03-RS-2300244.01 INSURED WESTGOA-01 West Coast Cranes, Inc. 2144 O'Toole Ave INSURER B: Clear Blue Ins CO 28860 INSURER C: Vanliner Insurance Company 21172 INSURER D: Axis Surplus Insurance ompany 26620 San Jose CA 95131 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2117682541 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 OTHERDOCUMENTWITH 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 SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y AW03-RS-2300244.01 4/27/2023 4/27/2024 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR C DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 X Hook Liability X Over The Road ME PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE� D LOC PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY AW02-RS-2300152-01 4/27/2023 4/27/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident) _ BODILY INJURY (Per person) $ ANY AUTO OWNEDX SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ Per accident HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LAB X JOCCUR Y AW042300148-01 4/27/2023 4/27/2024 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y I N/A TWC5500102-01 9/18/2023 9/18/2024 X PER OTH- STATUTE ER _ 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 D 2nd Layer Excess LiabilityP-001-001080832-01 4/27/2023 4/27/2024 Each Occurrence 5,000,000 , Aggregate 5,000,000 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requirod) Town of Los Altos Hills and its officers, agents, independent contractors, and employees are named as additional insured when required by written contract per the attached endorsement. Excess policy is follow form over the General, Auto, and Employer Liability policies, Including Hook Liability. CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Los Altos Hills 26379 Fremont Road Los Altos Hills CA 94022 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD