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2017/12/31 BHC Crane, LLC Certficiate of Liability Insurance CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/13/2018 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 CONTACT NAME: Joan Richards The Dougherty Company, Inc. PHONE FAX P.O. Box 7277 City of Menifee A/C No Ext:562-424-1621 A/C No:562 490-0432 Lon Beach CA 90807 E-MAIL g City Clerk ADDRESS: joan@doughertyins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Ironshore Specialty Ins Co. 25445 INSURED BHCCR-1 INSURERB:American Southern Home Ins Co 41998 BHC Crane, LLC PO Box 9077 INSURERC:Arch Insurance Group 11150 San Pedro CA 90734 Received INSURERD:State Fund Compensation Ins. 35076 INSURER E:Westchester Surplus Lines INSURER F: AGCS Marine Insurance Company COVERAGES CERTIFICATE NUMBER:560211668 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 I ADDL SUBR I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SD WVO POLICY NUMBER MMIDD MMIDDIYYYYi I LIMITS A X COMMERCIAL GENERAL LIABILITY Y NBG0030905 12/31/2017 12/31/2018 EACH OCCURRENCE I S 1.000,000 CLAIMS-MADE F-i-I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S 50,000 MED EXP(Any one person) $excluded X Riggers Hook PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S2,000,000 PRO- POLICY 7 JECT LOC PRODUCTS-COMP'OP AGG S2,000,000 OTHER: Deductible S 10,000 B AUTOMOBILE LIABILITY 2LA6CA000002004 12/31/2017 12/31/2018 COMBINED SINGLE LIMIT S1,000,000 Ea accident IX ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULEDBODILY INJURY Per accident S AUTOS ONLY AUTOS ( )HIRED X NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S C UMBRELLA LIAB X OCCUR UXP005838603 12/31/2017 12/31/2018 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE S 5,000,000 DED PPTENTION$Nil S D WORKERS COMPENSATION 900157218 12/13/2018 12/13/2019 X STATUTE I EERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 E Excess Liability G27941096003 12/31/2017 12/31/2018 Each Occurrence 4,000,000 F MX193065913 12/31/2017 12/31/2018 Aggregate 4,000,000 Rented/Leased Equipment Maximim per Item 700,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder named additional insured for general liability as respects operations of the named insured per attached endorsement CG2012. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road Menifee CA 92586 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER. NBG-00309-05 COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: The City of Long Beach,it's Boards and Commissions,and their Officials,Employees and Agents Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to 2. This insurance does not apply to: include as an additional insured any state or a. "Bodily injury", "property damage" or governmental agency or subdivision or political "personal and advertising injury" arising out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government,state or municipality: or 1. This insurance applies only with respect to b. "Bodily injury" or "property damage" operations performed by you or on your behalf included within the "products-completed for which the state or governmental agency or operations hazard". subdivision or political subdivision has issued a permit or authorization. B. With respect to the insurance afforded to these additional insureds, the following is added to However: Section III—Limits Of insurance: a. The insurance afforded to such additional If coverage provided to the additional insured is insured only applies to the extent permitted required by a contract or agreement, the most we by law;and will pay on behalf of the additional insured is the b. If coverage provided to the additional amount of insurance: insured is required by a contract or 1. Required by the contract or agreement; or agreement, the insurance afforded to such additional insured will not be broader than 2. Available under the applicable Limits of that which you are required by the contract Insurance shown in the Declarations; or agreement to provide for such additional whichever is less. insured This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 2012 04 13 ©Insurance Services Office, Inc.,2012 Page 1 of 1