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2018/11/01 Hill Crane Service, Inc. Certificate of Liability Insurance2/27/2019 11:28 AM FROM: Tolman & Wiker TO: +19516793843 P. 6 �►�� Q� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 02/22/2019 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 NAME: C Kathy Stulis Tolman & Wiker Insurance Services LLC #OE52073 PHONE (805) 585-6256 FAX(805) 585.6256 AIC No Ext • A1C.Ne ADDRESS: kstuits@tolmanandwiker com 196 S Fir Street PO BOX 1388 INSURER(S) AFFORDING COVERAGE NAIL 0 Ventura CA 93002-1388 INSURERA: International Ins Co of Hannover SE 86486 INSURED INSURER B : American Alternative Ins Corp 19720 INSURER C: Westchester Surplus Lines Ins 10172 Hill Crane Service, Inc INSURER D : Zurich American 16535 3333 Cherry Avenue INSURER E : Indian Harbor Ins Co 36940 Long Beach CA 90807 INSURER F : COVFRAGFS CFRTIFICATF Nl1MRFR• 19/20 GL/AUIVVCIXS/XS RFVISION 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF IMMIDDlYYYY) POLICY EXP EMMIDD/YYYY LIMITS x COMMERCIALGENERALLIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE $ 21000,000 AM N PREMISES Ea occurrence 300,000 $ x On -Hook MED EXP (Any one person) $ Excluded A X Over the Road Y IICHMPP-0003024-01 03/01/2019 03/0112020 PERSONAL & ADV INJURY $ 2,000,000 5EENi AGGREGATE LIMITAPPLIES PER: POLICY ❑M ❑LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMPIOPAGO $ 4000,000 $ OTHER' AUTOMOBILE LIABILITY COMBINEDSiNGLE LIMIT Ea ac V0. $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS 151901-10-63-50-2 03/01/2019 03/01/2020 BODILY INJURY (Per accident) $ PROPERTYDAMAOE Par acc�dl:nl $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 C EXCESS LIAB CLAIMS -MADE G46605962003 03101/2019 03/01/2020 DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROP R1ETURIPARTNE RIE XE CUTIVE Of: FICERIMEMB6REXCLUDE 07 (Mandaloryln.NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC 5084565-07 11/01/2018 11l01I2019 TH /� STAVUTE FOR E L EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 EJ.. DISEASE. POLICY LIMIT 1,000,000 $ E Excess Liability SXS004531204 03/01/2019 03101/2020 EACH OCCURENCE: AGGREGATE $3,000,000 $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: 1,2 GL: Certificate Holder is Additional Insured as respects to Operations of the Named Insured per form GLM20330315. Endorsement applies only as required by current written contract on file **GL: EXCLUDES ALL WRAP/OCIP PROJECTS 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 AUTHORIZED REPRESENTATIVE Menifee CA 92586 'a /, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 2/27/2019 11:23 AM FROM: Tolman & Wiker TO: +19516793843 P. 7 Policy Number:IICHMPP-0003024-01 Insured Name: HIII Crane Service, Inc THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED EXCLUSION - DESIGNATED OPERATIONS UNDER A CONSOLIDATED INSURANCE PROGRAM This endorsement modifies insurance provided under the following: COMMERCIAL GENf:RAI. LIABILITY COVERAGE FORM It is agreed that SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILTY, 2, Exclusions Is amended to Include the following: This insurance does not provide coverage for "bodily Injury" or "properly damage" arising out of the acts or omissions of any insured if: A. The accident occurred at or Incidental to a project that is insured by a "consolidate insurance program", and B. The insured has enrolled in and or participated in that "consolidated insurance program." This exclusion applies regardless if the "consolidated insurance program" provides coverage identical to that provided by the above referenced coverage part, or if it remains in effect. If the Named Insured is enrolled in a "consolidated insurance program" covering a project with a minimum of $1U,000,000 in limits of coverage, and the Named Insured is performing work at the project or in furtherance of or incidental to its work on the project, the above exclusion does not apply to: a. "property damage" that occurs to real or personal property of others in the care, custody or control of the Named Insured ifsuch property damage occurs while that property is in the possession of, or 15 being raised, hoisted, lowered, or moved by "inoblle equipment" operated by, owned by, or loaned to the Named Insured or any of its Subcontractors; OR b. That portion of "bodily injury/' or "property damage" for which the Named Insured Is not provided coverage under the "consolidated Insurance program", OR C. Any portion of damages resulting from "bodily injury" or "property damage" that is excess of the limits available to the Named Insured under the "consolidated Insurance program". However, none of the above exceptions, a., b., c. applies to any or all Additional Insureds. it is agreed that SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, 4.Other Insurance b. Excess Insurance is amended to include the following: If at least one of the above exceptions, a., b., or c., applies to the Named Insured, the coverage available under this liability policy is excess to: A. The coverage provided to the Named Insured by the "consolidated insurance program," B. Any deductibles owed by the Named Insured under this liability policy or under any "consolidated Insurance program," C. The Named Insured's self -insured retention. Definitions For the purpose of this limited exclusion endorsement: A. "Consolidated Insurance Program" means: Any Wrap -Up, OCIP, CLIP, or any other insurance policy purchased to cover a specific construction project or jobsite for an indefinite term of construction. - B. "Ongoing Operations" means that period of time In which any insured is actively performing work or operations on the construction project, in preparation for or Incidental to work on the construction project. That period of time commences when the insured begins work to fulfill its contractual obligations, and ends when their contractual obligations have been fulfilled. GLM 2154 05 11 Page 1 of 1 2/27/2019 11:28 AM FROM: Tolman & Wiker TO: +19516793843 P. 8 Policy Number;IICHMPP-0003024-01 Insured Name:Hill Crane Service, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL, INSURED - ONGOING OPERATIONS OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following' COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION 11— WHO 15 AN INSURED is amended to include as an additional insured any person or organization that the Named Insured has agreed to name as an Additional insured on its policy. However, such additional insured status shall be granted only if such agreement was evidenced "in writing' or by a written contract executed by the Flamed Insured before the "occurrence" took place. Furthermore, the conditions triggering such additional insured status are governed as follows: A. Such person or organization is an Additional Insured only with respect to liability for "bodily injury" or "property damage" that is directly caused by the Named insured's performance of "ongoing operations" for at least one of the Additional insureds. B. However, where the. Named Insured has agreed in a written contract to specific editions of ISO additional insured endorsements or to specific language as delineated in those 150 additional insured endorsements, Paragraph A above is deleted and replaced with either paragraph BA or B.2 below. 1. Caused in Whole or in Part — Where the Named Insured is required by a written contract to make a person or organization an Additional Insured using the language from ISO Additional insured forms CG2033 or CG2010 with edition dates of July 2004 (07/04), or April 2013 (04/13) such person or organization is an Additional Insured only with respect to liability for "bodily injury" or "property danoage". that is caused. in whole or in part by the named insu►ed's performance of "ongoing operations" for at least one of the Additional Insureds; OR Arising Out Of — Where the Named Insured is required by a written contract to make a person or organ€zatlon an Additional Insured using the language fronm ISO Additional Insured forms CG2033 or CG2010 with edition dates of 2001,1993 or 1985, such person or organization Is an Additional Insured only with respect to liability for'%od€ly injury" or "property damage" arising out of the Named Insured's performance of "ongoing operations" for at least one of the Additional Insureds. Additionally: 1. The insurance afforded to any Additional Insured only apples to the extent permitted by law; and if coverage provided to the Additional Insured is required by contract or agreement an in writing, the insurance afforded to such additional insured will not be broader than that which the Named Insured is required by the contractor agreement to provide for such Additional Insured. Exclusions With respect to the insurance afforded to the Additional Insureds: A. This endorsement does not eliminate any other exclusions in this policy or the CG0001(10/01) policy form. B. This Additional Insured Endorsement •..d_Qes_not.a.p_.Ply_to:._.. _ 1. Any damages arising from the "products completed operations hazard"; GLM 2033 0315 Page 1 of 2 2/27/2019 11:28 AM FROM: Tolman &, Wiker TO: +19516793843 P. 9 2. "Bodily injury" or "Property damage" arising out of the rendering of or failure to render any piofessional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, filed orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural, or engineering activities; 3. "Bodily injury" or "property damage" occurring after: a. All the work on the project to be performed by Named Insured on behalf of the Additional Insured has been completed; or b. That portion of the work performed by he Named Insured, out of which the injury or damage arises, has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project; or c. The Named Insured completes delivery, and/or assembly of equipment at the project site pursuant to the terms of the bare lease agreement; or d. The Named Insured;s equipment has been assembled at the project site, if the work to be performed by the Named Insured on behalf of the Additional Insured is limited to the rental of equipment that must be set up or assembled at the project site. This exclusion does not apply to liability caused by the Named Insured's acts or omissions during the disassembly or the equipment. Definitions As used in this Endorsement, the following definitions apply: A. "Ongoing operations" shall mean that period of time in which any insured is actively performing work or operations on a project or in preparation for work on a project_ That period of time commences when the insured actively begins work to fulfill its contractual obligations, and ends when their contractual obligations have been fulfilled. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. Authorized Representative Includes copyrighted material of Insurance Services Office, Inc., GLM 2033 03 15 with its permission. Page 2 of 2