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2018/12/13 BHC Crane, LLC Certificate of Liability Insurance (3)r � (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE DATE 1(MMIDD9 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 NTACT The Dougherty Company,Inc. NAME: Joan Richards P.O. Box7277 City of Menifee PHONE qm 562-424-1621 FAX Ne:562-490-0432 Lon Beach CA 90807 EMAIL 9 City Clerk ADDRESSm joani0dougherlyins,corn INSURED BHC Crane, LLC PO Box 9077 San Pedro CA 90734 .4AN_0 7 2019 BHCCR-1 Received INSURERA: State Fund INSURERB: Gotham In! INSURER C : New York t INSURER D: Burlinaton rance Ins (--0VFaAr,Fs CFRTIFICATP hII FAIIF r-P- A7Qr11A1)Q 00111 11^ l u11aanoo. NAIC 11 35076 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. INSRliopL5li8R I POLICY EFF POLICY EXP LT TYPE OF INSURANCE p D POLICY NUMBER MM7DD.NYYY1 MMIDD LIMITS B X COMMERCIAL GENERAL LIABILITY I Y GL201800012869 CLAIMS -MADE 1XX1 OCCUR 12/31/2018 12/31/2019 EACH OCCURRENCE 11,0011,000 PREM SES JEa occurrence) $ 50.000 MED EXP (Any oneperson) $ 5,000 X Riggers Hook PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY PRO- LOC JECT HOTHVR: PRODUCTS - COMP/OP AGG $ 2.000.000 Deductible $ 10,000 C AUTOMOBILE LIABILITY AU201800016545 12/31/2018 12/31/2019 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS I BODILY INJURY Per accident ( ) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY OAMAGE P agGde ! $ $ D UMBRELLA Lit B X OCCUR HFF0008392 12/31/2018 12/31/2019 EACH OCCURRENCE $5,000,000 x AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE $ DED I I RETENTION $ hij A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? NIA 900157218 12/13/2018 12/13/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E-L,DISEASE -EAEMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under EL. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below D E Excess Liability Rented/Leased Equipment HFF0008392 MIM1024300 12/31/2018 12/31/2018 12/31/2019 12/31/2019 Each Occurrence Aggregate Maxlmim per Item 1,000,000 1,000,000 700,000 DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more apace Is required) Additional insured status is provided to all entitles required by written contract to be included as additional insured but only With respect to operations preformed by the Named Insured Or on their behalf with respect to General Liability. A waiver of subrogation is provided as required by written contact and applies with respect to General liability. Coverage afforded by the General Liability Is primary and non-contributory in favor of the additional insured per written contract. Excess Liability is fallow form over General Liability. Certificate holder named additional Insured for general liability as respects operations of the named insured per attached endorsement CG2012. C:tK111-1L:AIE HOLDER CANCELLATION City of Menifee 29714 Haun Road Menifee CA 92586 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD