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2018/12/13 BHC Crane, LLC Certificate of Liability InsuranceDATE(MMIDD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 1 /212019 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 C ONTACT CT Joan Richards The Dougherty Company, Inc. E F P.O. Box 7277 City of Menifee No. Exa; 562-424-1621 A& Nat: 562-490-0432 Long Beach CA 90807 City Clerk oan dou he ns.com (� JAN 0 7 019 INSURED BHCCR-1 BHC Crane, LLC PO Box 9077 San Pedro CA 90734 Received INSURERS AFFORDING COVERAGE NAIC # INSURERA: State Fund Compensation Ins. 35076 INSURERB: Gotham Insurance Company INSURER c : New York Marine &General Ins INSURER D: Burlington Insurance Company INSURERE: Berkley Assurance Company INSURER F : rnvoDnr_oC PFRTICICATP KIIIMRFR•d7AF11r0A RFVI.RIr1N NIIMRFR[ 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 u8R POLICYNUMBER POLICY DEFF POLOICnEXP LIMITS LTR B X COMMERCIAL GENERAL LIABILITY Y GL201800012869 12/31/2018 12/31/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE F_x] OCCUR PREMISES Ea occurrence $ 50.000 MED EXP(Any,oneperson) $ 5.000 X Riggers Hook PERSONAL & ADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000.000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY ❑ PRO ❑ JECT LOC Deductible $ 10,000 OTHER C AUTOMOBILE LIABILITY AU201800016545 12/31/2018 12/31/2019 COMBIHEOSINGLELI 17 Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IX X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE p'er accident $ D UMBRELLA LIAB X OCCUR HFF0008392 12/31/2018 12/31/2019 EACH OCCURRENCE $5,OOQ000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ mi $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE 900157218 12/13/201 B 12/13/2019 X 071H- STAT T ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 OFFICERIMEMBEREXCLUDED? ❑ (Mandatory In NH) NIA E.L. DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D E Excess Liability Rented/Leased Equipment HFF0008392 MIM1024300 12/31/201B 12/31/2019 12/31/2018 12/31/2019 Each Occurrence Aggregate Maximim per Item 1,000,000 1,000,000 700,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional insured status is provided to all entities 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. Awaiver 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 follow form over General Liability. Certificate holder named additional insured for general liability as respects operations of the named insured per attached endorsement CG2012. l.. mI IrmmIC nVLuCR \+Mi4\+I lwll 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 POLICY NUMBER: GL201800012869 COMMERCIAL GENERAL LIABILITY CG 20 12 0413 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: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 12 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1