2022/12/07 United Rentals (North America), Inc. (3)ocG)>'CERTIFICATE OF LIABILITY INSURANCE DAlE(Ui/voo,^rYrn
0112012023
THIS CEBTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE OOES NOT AFFIRMANVELY OR I{EGANVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW' TH|S CERTTFTCATE OF TNSURANCE DOES NOT CONSTTTUTE A CO?{TRACT BETWEEN THE |SSU|NG |NSUREn(S), AUTIIOR|ZED
REPRESENTATIVE OR PBOOUCER, AND THE CERTIFICATE HOLDER,
IMPORTANTT It the c€rlificate holde, is an AODITIONAL INSUBEO, tho policy(les) must hsve AOOITIONAL INSURED provisions or be endorsed. It
SUBROGATION lS WAIVEO, sublect lo the lerms and condltlors ol tho policy, cedain policies may requlre an endoGement. A 3latemenl on thlg
cerlllicale does not confer righis to the cerlificate holder in lieu ol such endorsement(s).
PNODUCEB
aon Risk services Northeast, rnc.
NelN York NY officeone Li bertv Plaza
165 Eroadwey, suire 3201
N€w York NY 10006 usa
(E66) 28r-7122
ADOFESS
INSUBEF(S) AFFOFDING COVEBAGE
t sunED
united Rentals (North Anerica), rnc,
un'ited Rentals. ]nc. & subsidiaries
100 First Stamford Place, su'ite 700
Stamford cT 06902 usA
DISUFEF A: ACE AneriCan Insurance Company 22667
tNsuFEHB: Indemnity Insurance co of North anerica 43575
tiEiuFEF c: ACE Fire underrvriters Insurance Co.20102
tNsuBEF D: acE Property & casualty Insurance co.20699
INsuhEB E: zurich anerican Ins co 1653 5
o
E
!
COVEBAGES CERTIFICATE NUMBEH: 5700s7480988 REVISION NUMBER
CEBTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAIO CLAIMS
TAN
E BIOD8ENESUEISTODINSTHEFUEDEDTPOLITHEIECOFSNSUANCERLSTOoOTBEHDOCRMUENTsBETPECTHHICtsTHoDINYREMENTTERMoDcoNOFITIONCONTRACTITNOTWSHNGREOUINICATED0
LImils shown are as
POLICYNUMBER
EACN OCCUFFENCE ,3,000,000
sEs
Exc'ludedMED EXP (Any on. psrson)
$1,000,PERSONAL & AOV INJURY
GENERALAGGFEGATE
PBODUCTS COMP/OPAGG s6,000,000x
s & condi
COMMERCIAL GENERAI LIAEIIITY
GEN'L AGGREGATE LIMIT APPLIES PEF:
x OCCUF
LOC
$2 000 000 s B
CLAIMS MAOE
JECT
COMBINED SINGLE LIMIT t5,000,000
SOoILY1NJUFY ( Perperson)
AOoILY INJURY (Por a6ilen0
t2/o7 /2022 LO/Ot/2023rsA H1.0764361
OWNEO
AUTOS ONTY
ONLY
SCHEOULED
NON-OWNEO
AUTOSONLY
AIJTOUOAILE LIABILIIY
EACH OCCURFENCE
t15,000,
U ARELI.A I.IAB
EXCESS LIAB
occlJF 07
s & condi ionssIR applies per policy te
7o
AETENTION
X
J2,000,000
E.L, OISEASE-EA EMPLOYEE $2,000,000
E.L OISEASE.POLICY IIMII 12,000,
12/07/2022 10/01/2023w1Rc50735771
AZ CA MA
WLRC
ao5
B V'OBKEFS CO|rPET|SAIION AND
ErIPLOYEFS' I.IABILI
ANY PROPF ETOA ] PABTNEA/ EXECUIIVE
OFFICEfu MEMBER EXCLIJOEO?
RIP.rIONOF OPERAIIONS
N
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dent
Ea Emp
EL oisease -
EL oisease -
EL Each ac
00
00
0
0
000
000
t2/o7 2022 1
& condisrR applies per policy te
wcuc
ADDITIONAL INFORMATION ATTACHED.
Ahern Rentals, rnc. is a subsidiary of united Renta]s,
Proof of rnsurance.
Inc,
DESCFTPTTONOF OPEBATTOTiS / LOCATIONS / VEHICLES (ACOBD 101,lddnaon.l i.m!rk.Sch.dul., mry b. rn ch.d ll rc,. !P.c.l. t qulEd)
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CERTIFICATE HOLOER CANCELLATION
@198&2015 ACORD CORPORATION. Al rights reserved.
The ACOBD name and logo are registered marks ol ACORD
SHOULO ANY OF THE ABOVE OESCRIBEO POIICIES AE CA CELIED BEFOFE THE
EXPIRATION DATE I}IEFEOF, NOTICE WILI 8E OELIVEHED IN ACCOFDANCE WTITI THE
-&g-./9"..*-r/CtZ-*3,,
AUTHORIZED AEPHESEI{TATIVE
LrsA
Haun
ci ty o
297t4
nifee
Road
92 585
ACORD 25 (2016/03)
(600) 163-0105
,2,000,00c
s6,000,000
s:R applies per policy ter
515,000,00(
DEO
1orH.
E,L, 6ACH ACCIOENT
52
$2
Excess wc
o-Qf ADDITIONAL REMARKS SCHEDULE Page _ of -
Aon Risk services Northeast, rnc.
NAMED INSUBEO
united Rentals (North A,rerica), rnc.
see ce rti fi cate Number: 570097480988
See certificate Number: 570097480988
NAIC CODE
ADDITIONAL REMARKS
THIS ADDITIONAL REMABKS FORM IS A SCHEDULE TO ACORD FORiI,
FORM NUMBER: ACORD 25 FOBM TITLE: Certificate ol Liabi lity lnsurance
ADDrrIONAL FOLICIES Ifa policy below does not includc limit information, refer to the coresponding policy on the ACORD
certificate form for policy limits,
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER
INSURER
I^-SURER
IIII
INSR
I,TR TYPE OfI]\SI'RAN('Ij ADDL
INSt)
scaR POLICYNUI\IBtrR
H)LIC'I
Ittl'fcTtvE
DA ru
FOLICY
EXPIIATTON
D TE
(Mn DD/tYvv)
t,n Ts
WORKERS COMPENSATION
c scFc50730803
rvI
L2/07 /2022 L0/07/2023
OTHER
E Misc Liab cvg Ns11138282
Tx Non-Subscriber
srR applies per policy tel
t2 /07 /2022
ns & <onditi
10 /0L/2023 csL /"toT /rNo /occ
s5 ,000,000
II
I
TI
T
I rII
Il
IIlrrr
acoBo 101 (2008/01)
Tho ACOAO n.mssnd togo lre regislored mark3 otacoBD
O 2008 ACOBD COHPOAAIO . Att right3 reserved.
AGENCY CUSTOMER tD: 570000086099
LOC #:
INSURER
570000086099
A.<:<)Ri?-ADDITIONAL REMARKS SCHEDULE Page _ of _
Aon Risk Services Northeast, Inc.
See Ce rti fi cate Number: 570097480988
See Certificate Number: 570097480988
NA|C COOE
EFFECIIVE DATE:
ADDITIONAL REMARKS
AGENCY CUSTOMER ID
LOC #
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability lnsurance
CERTIFICATE CONTINUATION
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS CONT.
RE: ALL OPERATIONS PERFORIVED FOR THE CERTIFICATE HOLDER.
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSUREO IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE
GENERAL LIABILITY AND AUTO LIABILITY POLICIES. A WAIVER OF SUBROGAIION IS GR,ANTED IN FAVOR OF CERTIFICAIE
HOLDER IN ACCORDANCE I{ITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY, AUTO LIABILITY AND WORKERS
COMPENSATION POLICIES. A WAIVER OF SUBRO6ATION IS GRANTED IN FAVOR OF CERTIFICATE HOLOER IN ACCORDANCE
IVITH THE POLICY PROVISIONS OF THE EMPLOYERS LIABILITY POLICY FOR KENTUCKY, N4ISSOURI, NEW HAMPSHIRE, & NEW
JERSEY. GENERAL LIABILITY AND AUTO LIABILIry EVIDENCEO HEREIN I5 PRIMARY AND NON-CONTRIBUTORY TO OTHER
INSURANCE AVAILABLE TO AN ADDITIONAL INSURED, BUT ONLY IN ACCOROANCE WITH THE POLICY,S PROVISIONS.
CONTRACTUAL LIABILITY, BROAD FORM PROPERTY DAMAGE COVERAGE, INDEPENDENT CONTRACTORS COVERAGE IS PROVIDED
IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY.
THERE 15 NO SPECIFIC "XCU,' EXCLUSIONS AND COVERAGE IN ACCORDANCE WITH POLICY'S GENERAL LIAAILITY TERMS AND
CONOITIONS.
GENERAL LIABILITY POLICY INCLUDES THE FOLLO$IING ENDORSEMENT FORMS IN ACCORDANCE WITH THE POLICY
PROVISIONS:
ADDITIONAL INSURED WHERE REQUIRED BY WRIfiEN CONTRACT
ADDITIONAL INSURED - OWNERS, LESSEES, OR CONTR.ACTORS - COMPLETED OPERATIONS
ADDITIONAL INSURED - OWNERS, LESSEES, OR CONTRACTORS - ONGOING OPERAT]ONS
ALL OTHER STATES (AOS) INCLUDES: ITEM 3 A IVORKERS' COI,IPENSATION INSI.JRANCE:
PART ONE OF THE POLICY APPLIES TO THE WORKERS' COMPENSATION LAW OF THE STATES LISTED HERE: AK,
CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, IID, ME, MI, T4N, MO, MS, [,IT, NC, NE, NH, NJ, NT4, NV,
OR, PA, RI, SC, SD, TN, UT, VA, VT, WV.
AL, AR, COI
NY, OK,
ACORD r01 (2008/01)
Tho ACOBD nsme and logo ar€ rogl 6r6d m.rks oI ACORD
O 2008 ACORD CORPORATION. All righls resorvcd.
NAMEOINSURED
united Renta] s (i{orth America), rnc.
AGENCY CUSTOMER ID:
LOC #:
570000086099
acQo'ADDITIONAL REMARKS SCHEDULE cage - of -
AGENCY
Aon Risk services Northeast, rnc,united Renta'ls (North A,nerica), rnc.
see cert'ifi cate Number: 570097480988
see certificate Number: 570097480988
NAICCODE
EFFECIIVE OATE:
ADOITIONAL REMARKS
THIS AOOITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM I',IUMBER: ACORD 25 FORM TITLE: Certilicate ot Liabil lnsurance
CERTIFICATE CONTINUATION
SHOULD THE GENERAL LIASILIry, AUTOMOE]LE LIABILTTY, AOS WORKERS COMPENSATION/EMPLOYERS LIABILITY, AND,/OR
ARIZONA, CALIFORNIA, MASSACHUSETTS h'ORKERS COMPENSATION/EMPLOYERS LIABILITY POLICY(IES) BE CANCELLED
BEFORE THE EXPIRATION OATE THEREOF, THE POLICY PROWSIONS WTLL GOVERN HOW NOTICE OF CANCELLATION MAY BE
DELIVERED TO CERTIFICATE HOLDERS IN ACCORDANCE WITH THE POLICY PROVISIONS OF EACH POLICY.
ACOBO 101 (2008/01)@ 2008 ACORD CORPOAAION. All righls re!€rt6d.
Th€ ACORD n.ms rnd logo lre rogtlter.d mrrks otACORD
ADDTTIONAL INSURED - LESSOR OF LEASED EQUTPMENT - AUTOMATTC
STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU
Uniied Rentals, lnc.
Endorsemeni Number
6
XSL G47355643 1 0 I 0 1 12022 to I O I 0 1 I 2023
Eltectrve Dare of Endorsemenl
lssued By iNams of lnsurance company)
ACE American lnsurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
Excess Commercial General Liability Policy
A. SECTION II - WHO IS AN INST RED is amended to include as an additional insured any person(s) or
organization(s) from whom you lease equipment when you and such person or organization have agreed in
writing in a contract or agreement that such person or organization be added as an additional insured on your
policy. Such person or organization is an insured only with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or
use of equipment leased to you by such person(s) or organization(s).
However:
r. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. Will not be broader than that which you are required by the contract or agreement to provide for such
additional insured.
A person's or organization's slatus as an additional insured under this endorsement ends when their contract
or agreement with you for such leased equipment ends.
B. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any
"occurrence" which takes place after the equipment lease expires.
C. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III -
LIMITS OF INSURANCE AND RETAINED LIMIT:
The most we will pay on behalf of the additional insured is the amount of insurance:
r. Required by the contract or agreement you have entered into with the additional insured; or
z. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits oflnsurance shown in the Declarations.
Authorized Representative
XS-6w29b (02/17) Includes copyrighted material of lnsuance Services O{frce, Inc. with its permission Page I ofl
ADDITIONAL lNSURED - OWNERS, LESSEES OR
CONTRACTORS . COMPLETED OPER,ATIONS
Narned lnsured
United Rentals, lnc
Endorsement Numb€r
9
Polrcy Symbol
XSL
Policy Number
G47355643 1 0101 12022 to I 0 l0 1 12023
Etfective Dale of Endorsement
lssued By (Name of lnsurance Company)
ACE American lnsurance Company
lnsertthe polrcy number. The remainder oflh6 information islob€ completed only when this endorsemenl is issued subsequent tothe prsparalion ofthe policy
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
This Endorsement modifies insurance provided under the following:
EXCESS COMMERCIAL GENERAL LIABILITY POLICY
SCHEDULE
Namo Of Additional lnsured Person(s)
Or Organization(s):Location And Description Of Completed Operations
Any party, not otherwise specifically named on an
Additional lnsured endorsement, with whom the
Named lnsured has agreed to make an additional
insured prior to the date of loss, pursuant to either a
written contract or the approval of the Director of Risk
Management
All locations where you are performing operations
for such additional insureds
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section ll - Who ls An lnsured is amended to include as an additional insured the person(s) or organiza-
tion(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused,
in whole or in part, by "your work" at the location designated and described in the Schedule of this endorse-
ment performed for that additional insured and included in the "products-completed operations hazard".
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. lf 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.
B. With respect to the insurance afforded to these additional insureds, the following is added to Section lll -
Limits Of lnsurance And Retained Limit:
lf 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 lnsurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations.
xS-21168a (04/13)Copyright, lnsu.ance Services Office, lnc., 2012
Authorized Representative
Page 'l ot 2
I
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS. SCHEDULED PERSON OR ORGANIZATION
Named lnsured
United Rentals, lnc
Endorsement NumberI
Policy Symbol
XSL G47355643 1 0101 12022 to 1 0 l0 1 12023
Effeclive Date of Endorsement
lssued By (Name ol lnsurancg Company)
ACE American lnsurance Company
lnserlthe policy number. The remainder ofthe information is lobe completed only when thrs endorsement is issued subsequent to the preperation olthe policy
THIS ENDORSEMENT CHANGES THE POL'CY. PLEASE READ IT CAREFULLY.
This Endorsement modifies insurance provided under the following:
EXCESS COMMERCIAL GENERAL LIABILITY POLICY
SCHEOULE
A. Section ll - Who ls An lnsured is amended to include as an additional insured the person(s) or organiza-
tion(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured(s) at the location(s) designated
above.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. lf 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.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
Name Of Additional lnsured Person(s)
Or Organization(s):Location(s) Of Govered Operations
Any party, not otherwise specifically named on an Additional
lnsured endorsement, with whom the Named lnsured has
agreed to make an additional insured prior to the date of
loss, pursuant to either a written contract or the approval of
the Director of Risk Management
All locations where you are performing operations
for such additional insureds
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations
XS-21168a (04i 13)Copyright, lnsurance Services Office, lnc., 2012 Page 2 ol 2
I
1. All work, including materials, parts or equipment furnished in connection with such work, on the prolect
(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at
the location of the covered operations has been completed; or
2. That portion of "your work" 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.
C. With respect to the insurance afforded to these additional insureds, the following is added to Section lll -
Limits Of lnsurance And Retained Limit:
lf 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:
Authorized Representative
XS-21168a (04/13)Copyright, lnsurance Services Office, lnc., 20'12 Page 3 of 2
1. Required by the contract or agreement; or
2. Available under the applicable Limits of lnsurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of lnsurance shown in the Declaralions.
NON-GONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS
United Rentals, lnc.
Endorsement Number
Policy Symbol
XSL G47355643 1 o l0 1 12022 to 1 0 I 0 1 12023
Efieclrve Date or Endorsemenl
lssued By (Nameol lnsuranco Company)
ACE American lnsurance Company
lnseri the policy numb€r. Th€ rsmaind€r of lhe inlormalion is to bo completed only when lhis €ndorsemenl is issu€d subssquenl to ths preparation of the policy
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
EXCESS COMMERCIAL GENERAL LIABILITY POLICY
Srhed.ll.le
Oroanization
All persons or entities added as additional insureds through an endorsement
Additional lnsured Endorsement
with the term "Additional lnsured" in the title
(lf no information is filled in, the schedule shall read: "All persons or entities added as additional insureds
through an endorsement with the term "Additional lnsured'in tha title)
For organizations that are listed in the Schedule above that are also an Additional lnsured under an
endorsement attached to this policy, the following is added to Section lV.4:
lf other insurance is available to an insured we cover under any of the endorsements listed or described above
(the "Additional lnsured") for a loss we cover under this policy, this insurance will apply to such loss and is
primary (subject to satisfaction of the "retained limit"), meaning that we will not seek contribution from the other
insurance available to the Additional lnsured. Your "retained limit" still applies to such loss, and we will only pay
the Additional lnsured for the "ultimate net loss" in excess of the "retained limit" shown in the Declarations of this
policy-
XS-20288a (05/14)Page '1 ot 'l
I
Authorized Representative
Ochubb. 2016. All rights reserved.
EHIJEIEI 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US
United Rentals. Inc.
Endors cmcnt Nuober
I
PolicySymbol Policy Number
c47355643
Policy Period
70/ 0L /2022 Lo 1.0 / 0L/ 2023
Effeclive Dale of Eodorscment
Issued By (Name of InsuranccCompany)
ACE American Insurance Company
lnseft the policy number. The remaindcr of the information is lo becornplcrcd only when this cndorsemc iB issued subsequcnr to lhc prcparalion ofthe policy
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREF'ULLY.
This endorsement modifies insurance provided under the following:
EXCESS COMMERCIAL GENERAL LIABILITY POLICY
SCHEDULE
Name of Person or Organization: Any person or organization against whom you have agreed to waive your
right of recovery in a written contract, provided such contract was executed prior to the date of loss.
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV -
Conditions:
We waive any right ofrecovery against the person(s) or organization(s) shown in the Schedule above because of
payments we make under this policy. Such waiver by us applies only to the extent that the insured has waived its
right of.recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the
person(s) or organization(s) shown in the Schedule above.
All Other Terms And Conditions Remain Unchanged.
XS-6W34a (o2l20J Page 1 of1
Authorized Representative
ADDITIONAL INSURED.
DESIGNATED PERSONS OR ORGANIZATIONS
lnsert th€ policy numb€r. The r€maindsr of lhe information is lo b€ compl6tad only whsn lhis ondor8sm€nt is issuod subsequont to the preparataon of lhe policy
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
AUTO DEALERS COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
EXCESS BUSINESS AUTO COVERAGE FORM
Named lnsured United Rentals, lnc Endorsement Number
2
Policy Symbol
ISA
Policy Number
H10764361
Policy Period
10101 12022 ro 1OlOl 12023
Effective Date of Endorsement
lssued By (Name of lnsu rancercomEani)
ACE American lnsurance Company
For a covered "auto," Who ls lnsured is amended to include as an "insured," the persons or organizations
named in this endorsement. However, these persons or organizations are an "insured" only for "bodily
injury" or "property damage" resulting from acts or omissions of:
1. You.
2. Any of your 'employees' or agents.
3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents.
The personS or organizations named in this endorsement are nOt liable for payment of your premium.
Authorized Representative
B
DA-gU74c (03/16)Page 1 of I
I
Additional lnsured(s): Anv oroanization whom vou have aoreed. via writinq from vour Director of Risk
Manaoement. or under written contract. to include as an additional insured provided such
written aoreement or contract was executed orior to the date of loss.
NON.CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS
Named lnsured United Rentals, lnc Endorsement Number
3
Policy Symbol
ISA
Policy Number
H10764361
Polrcy Period
10101 12022 ro 1 0101 12023
te dorse
lssued By (Name of hsurance Company)
ACE American lnsurance Company
lnsert ihe policy numbsr. Tne remainOlr ot tre tntorrn.arion is to bs compi€ied only wh6n this endorsamenl is issusd subsequent to tho prsparation of lhe poticy
Schedule
Additiona I lnsured Endorsement
DA.9U74C
(lf no infotmation is fi ed in, the schedule shatl read: "Atl percons or entities added as additional insureds
through an endorsement with the term ,'Additional lnsured. in the ttte)
For organizations that are listed in the Schedule above that are also an Addilional lnsured under an endorsement
attached to this policy, the following is added to the Other lnsurance Condition under General Conditions:
lf other insurance is available to an insured we cover under any of the endorsements listed or described
above (the "Additional lnsured") for a loss we cover under this policy, this insurance will apply to such loss
on a primary basis and we will not seek contribution from the other insurance available to ihe Additional
lnsured.
Authorized Representative
DA-21886b (06/14)Page 1 of 1
I
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER GOVER,AGE FORM
AUTO DEALERS COVERAGE FORM
Oroanization
All persons or entities added as additional insureds through an endorsemenl
with the term "Additional lnsured" in the title
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS
Named lnsured United Rentals, lnc Endorsement Number
4
Policy Symbol
ISA
Policy Number
H10764361
Policy Poriod
10101 12022 ro 10101 12023
Effective Date of Endorsement
lssued By (Name of lnsurance Company)
ACE American lnsurance Company
lnserl the polacl numbsr. The remainder of th6 informalion is to b6 comploted only when lhas €ndoEsment is issusd subsoquent to the prep6rallon of the policy
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This Endorsement modifies insurance provided under the following:
We waive any right of recovery we may have against the person or organization shown in the Schedule below because of
payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or
organization shown in the SCHEDULE.
Authorized Representative
DA-13'115a (06/14)Page 1 of 1
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIERS COVERAGE FORM
AUTO DEALERS COVERAGE FORM
SCHEDULE
Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided
such conlract was executed prior to the date of loss.
Endorsement NumberNamed lnsured
T'NITED RENTAIS / INC.
100 FIRST STAMFORD PLACE, SUITE 700
STAMFORD CT 06902 Policy Number
Symbol: rfLR 1r1urn5s1; C50735 567
Policy PeriodL0-oL-2022 TO 10_01_2023
Effective Date of Endorsement
LO-OL-2022
lssued By (Name of lnsurance Company)
XIIDEMNITY INS. CO. OF NORTH A!.{ERICA
number he remainder rmalion is to be com en epothesorsement rs ssued su t to the prepara
Workers' Com sation and Em rs'Liabili Poli
WAIVER OF OUR RIGHTTO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benerit any one not named in the Schedule.
Schedule
ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HA\1E AGREED TO WAIVE YOI'R RIGI{T OF RECOVERY
XN A WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OE LOSS.
For the states of CA, UT, TX, refer to state specific endorsements.
This endorsement is not applicable in KY, NH, and NJ.
The endorsement does not apply to policies in Missouri where the employer is in the construction group of code
classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive
subrogation rights against public policy and void where one party to the contract is an employer in the construction
group of code classifications.
For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S.A..
16-1801 through 16-'1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract
Act(K.S'A 16-1901 through 16-1908 and any amendments thereto). According to the Acts a provision in a contract
for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by
liability or workers compensation insurance shall be against public policy and shall be void and unenforceable
except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a
consolidated or wrap-up insurance program.
Authorized Representative
wc 00 03 13 (11/05) Ptd. U.S.A.Copyright '1982-83, National Council on Compensation
Endorsement NumberNamed lnsured
UNITED RENTAIS, INC.
1OO TIRST STAUTORD PLACE SUITE 7OO
STA!{FORD CT 06902 Policy Number
Symbol: wLR 11urn6s1 C50735771
Policy PeriodL0-ot-2022 TO t0-0L-2023
Effective Date of Endorsement
!0-o7-2022
lssued By (Name of lnsurance Company)
ACE A}'ER]C.AN INSUI,ANCE COMPANY
numnsert to o orsement s torema pre cyrmaton
Workers' Com ensation and Em ' Liabil Poli
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
Schedule
ANY PERSON OR ORGANIZATION AGAINST WHOM YOU IIA'VE AGREED TO WAIVE YOUR R]GIIT OF RECOVERY
IN A i{RITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUIED PRIOR TO TgE DATE OE ],OSS.
For the states of CA, UT, TX, refer to state specific endorsements.
This endorsement is not applicable in KY, NH, and NJ.
The endorsement does not apply to policies in Missouri where the employer is in the construction group of code
classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive
subrogation rights against public policy and void where one party to the contract is an employer in the construction
group of code classiflcations-
For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S.A..
'16-1801 through 16-'1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract
Ac(K.S.A 16-190'l through 16-1908 and any amendments thereto). According to the Acts a provision in a contract
for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by
liability or workers compensation insurance shall be against public policy and shall be void and unenforceable
except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a
consolidated or wrap-up insurance program.
Authorized Representative
WC 00 03 13 (11i05) Ptd. U.S.A. Copyright 1982-83, National Council on Compensation
POLICY NUMBER: WCU C50735825
G, Omnibus Reconciliation Act - Government Access Clause
We will make available this policy and all documents needed to confirm the premium paid by you if the Secretary of
Health and Human Services or the Comptroller General of the United States find that the policy is a contractor
described in Section 1861 of the Social Security Act, 42 U.S.C. Section 1395, or any amendment to it, and they or you
ask for our documents.
lf the Secretary of Health and Human Services or the Comptroller General asks for access to our documents, we will
immediately notify you and make these documents available to you, unless prohibited by law.
The right to access will be determined by the above statute, or any amendment to it, or any rules or regulations
established under it.
H. Other lnsurance
lf the lnsured carries other valid insurance, reinsurance or indemnity with any other insurer covering a loss covered by
this policy (other than insurance that is purchased to apply in excess of the sum of Your Retention and the Limit of
lndemnity hereunder), we shall not be liable for a greater proportion of such loss than the applicable Limit of lndemnity
of all valid and collectible insurance, reinsurance or indemnity against such loss.
lf the lnsured carries other insurance with us covering a loss within the limit covered by this policy, the insured must
elect which policy shall apply and we shall be liable under the policy so elected and shall not be liable under any other
policy.
L Recovery From Othors
We have your rights, and the rights of persons enttled to the benefits of this insurance, to recover our payments from
anyone liable for the injury. You will do eveMhing necessary to protect those rights for us and to help us enforce
them. Any amount recovered as a result of such proceedings, together with all expenses necessary to the recovery of
any such amount, shall be apportioned as follows:
f. if there is insurance coverage in excess of Our Limit of lndemnity, that insurer shall first be reimbursed to the
extent of its actual payment;
2, we shall then be reimbursed to the extent of our actual payment and then we will pay the balance, if any, to you.
The expenses of all proceedings necessary to the recovery of any such amount shall be apportioned between you
and us in the ratio of their respective recoveries as finally settled. lf there should be no recovery in proceedings
instituted solely on our initiative, the expenses thereof shall be borne by us.
ln the event of any payment under this policy for a Loss for which you have waived the right of recovery in a written
contract entered into prior to the Loss, we hereby agree to also waive our right of recovery but only with respect to
such Loss.
J. Sole Representative
The insured first named in ltem 1 of the lnformation Page will act on behalf of all insureds to give or receive notice of
cancellation, accept indemnity, receive return premium or request changes in this policy.
K. Transfer of Your Rights and Duties
Your rights or duties under this policy may not be transferred without our written consent.
L. Unintentional Errors and Omissions
Your failure or omission to disclose all hazards existing as of the inception date of the policy shall not prejudice you
with respect to the coverage afforded by this policy provided such failure or omission is not intentional and you did not
know about such hazards prior to the commencement of the policy period.
cKE-1167M (01/1s)O ACE AI\,4ERICAN INSURANCE COMPANY Page 10 of 11
Endorsement Number
Policy Number
Symbol: SCF Nurn6sr C507 30803
tr-ame.flnsured
UNITED RENTATS, INC.
1OO FIRST STAUFORD PI.ACE, SUITE ?OO
STAMFORD CT O 6902
Effective Date of Endorsement
L0-0L-2022
Policy Periodt0-or-2022 TO 10- 01-2023
lssued By (Name of lnsurance Company)
ACE FIRE UNDERI{R]TERS INS CO
lnse(the er of the sto comp this endorsement the ration thes
Workers' Com ensation and Emp 'Liabil Pol
WAIVER OF OUR RIGHTTO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an iniury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
Schedule
ANY PERSON OR ORGANIZATION AGAINST i{HOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERY
IN A flRIITEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO IHE DAIE OF LOSS.
For the states of CA, UT, TX, refer to state speciflc endorsements.
This endorsement is not applicable in KY, NH, and NJ.
The endorsement does not apply to policies in Missouri where the employer is in the construction group of code
classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive
subrogation rights against public policy and void where one party to the contract is an employer in the construction
group of code classilications.
For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S.A..
16-1801 through 16-'1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract
Act(K.S.A 16-1901 through 16-1908 and any amendments thereto). According to the Acts a provision in a contract
for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by
liability or workers compensation insurance shall be against public policy and shall be void and unenforceable
except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a
consolidated or wrap-up insurance program.
Authorized Representative
Copynght 1982-83, National council on Compensationwc 00 03 13 (11/05) Ptd. U.S.A.
Endorsement NumberNamed lnsured
IJNITED RENTAIS, INC.
1OO EIRST STAUI'ORD P'.ACE, SUITE 7OO
sTAr,tFoRD CT 0 5902 Policy Number
Symbol:wLR Number C507 35 6 67
Policy Period
1,0-ot-2022 To ro- o t-zoz s LO-OL-2022
ve Date of Endorsement
)lssued By (Name nsurance
erelnsert the policy num sued su lowhen th 5en cy
Workers' Com on and Employers' Liabil Pol
TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Texas is shown in item 3.A. of the
lnformation Page.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule, but this waivei applies oniy with respect
to bodily injury arising out of the operations described in the Schedule, where you are required by a written coniract
to obtain this waiver from us.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
The premium for this endorsement is shown in the schedule.
Schedule
1 Speciflc Waiver
Name of person or organization:
( X ) Blanket Waiver
Any person or organization for whom the Named lnsured has agreed by written contract to
furnish this waiver.
2. Operations:
ALL TEXAS OPERATIONS
3. Premium:
The premium charge for this endorsement shall be 2.0 percent of the premium developed onpayroll in connection with work performed for the aboiffirson(s) or organizattn(s) arising out of theoperations described.
4. Advance Premium: $0
Authorized Represeniative
WC 42 03 048 (06/14) o Copyright 2014 National Council on Compensatjon lnsurance. lnc. All Rights Reserved.
1. (
INDEITNTTY INS . CO . OF NORTII AIi{ERICA
the rnformalron rs lo be cornpleted ori
NOTICE TO OTHERS ENDORSEMENT . SCHEDULE
Narned lnsrJred Unlted Rentals, lnc,Endorsement Number
4
Policy Symbol
xst
Policy Number
c47355643
Polrcy Penod
1 0101 12022 r o 1 O I 0 1 12023
Effective Date of Endorsement
lsaued By (Name of lnsurance Com
ACE American lnsurance Company
tnsert ihe policy numb6r. Th6 remainder of lhs information is to be compleled only when this sndorsemenl is issued sLrbsequent lo ihe prspa
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
A. lf we cancel the Poticy prior to its expiration date by notice to you or the first Named insured for any reason other than
nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic
or other form of notification as we determine, to the persons or organizations listed in the schedule that you or your
representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the
physical and/or e-mail address of such persons or organizations, and we will utilize such e-mail address or physical
address that you or your representative provided to us on such Schedule.
B. The Schedule must be initially provided to us within '15 days after:
i. The beginning of the Policy period, if this endorsement is effective as of such date; or
ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period
commences.
C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate.
D. Our delivery of the notilication as described in Paragraph A. of this endorsement will be based on the most recent
Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named lnsured.
E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each
person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the
Policy.
F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or
organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal
oUligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of
caniellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any
kind upon us, our agents or representalives, will not extend any Policy cancellation date and will not negate any
cancellation of the Policy.
G, We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any
incorrect information that you or your representative provide to us. lf you or your representative does not provide us
with a Schedule, we have no responsibility for taking any action under this endorsement. ln addition, if neither you nor
your representative provides us with e-mail and physical address information with respect to a particular person or
brganization, then we shall have no responsibility for taking action with regard to such person or entity under this
endorsement.
H. We may arrange with your representative to send such notice in the event of any such cancellation
l, you will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule.
J. This endorsement does not apply in the event that you cancel the Policy.
ALL-32687 (05/11)Page I of 2
Authorized Representative
ALL-32687 (0s/11)Page 2 ot 2
All other terms and conditions of the Policy remain unchanged.
POLICY NUMBER: ISA H10764361
EHLIEIE}'
NOTICE TO POLICYHOLDERS
NOTICE TO OTHERS - SCHEDULE
NOTICE BY INSURED'S REPRESENTATIVE
A. lf we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than
nonpayment of premium, we will endeavor to send written notice of cancellation, to the persons or organizations listed
in the schedule that you or your representative create or maintain (the "Schedule") by allowing your representative to
send such notice to such persons or organizations. This notice will be in addition fo our notice to you or the first
Named lnsured, and any other party whom we are required to notify by statute and in accordance with the cancellation
provisions of the Policy.
B. The notice of cancellation, as provided by your representative, is intended only to be a courtesy notilication to the
person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no
legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of
cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind
upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any
cancellation of the Policy.
C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect
information that you or your representative may use.
D, We will only be responsible for sending such notice to your representative, and your representative will in turn send
the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date
applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to
provide the Schedule.
E. The provisions ofthis notice do not apply in the event that you cancel the Policy.
AtL-34275 (10111)Page 1 of 1
Workers' Compensation and Employers' Liability Policy
Endorsement NumberNamed lnsured
T'NITED RENTAIS, INC.
100 rIRST STAMFOR PLACE, SUITE 700
STAMFORD CT 06902 Policy Number
Symbol: WaR Numlsr C50 735 5 67
Policy Period
LO-01-2022 TO 10 - 01-2023
ffective ate of ndorsement
to-o7-2022
lssued By (Name of lnsurance Company)
INDEMNITY INS. CO. OF NORTH .AI'ERICA
er be coIe SU uev p cyments
NOTICE TO OTHERS ENDORSEMENT . SCHEDULE
NOTICE BY INSURED'S REPRESENTATIVE
A' lf we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than
nonpayment of premium, we will endeavor, as set out in this endorsement, to send written notice of cancellation, to
the persons or organizations listed in the schedule that you or your representative create or maintain (the "schedule")
by allowing your representative to send such notice to such persons or organizations. This notice will be ia addition
to our notice to you or the llrst Named lnsured, and any other party whom we are required to notify by statute and in
accordance with the cancellation provisions of the Policy.
B. The notice referenced in this endorsement as provided by your representative is intended only to be a courtesy
notification to the person(s) or organization(s) named in the Schedule in the event of a pendjng cancellation of
coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide
advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no
obligation or liability of any kind upon us, our agents or representatives, will not extend any policy cancellaiion date
and will not negate any cancellation of the Policy.
C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect
information that you or your representative may use.
D. We will only be responsible for sending such notice to your representative, and your representative will in turn sendthe notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date
applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative toprovide lhe Schedule.
E. This endorsement does not apply in the event that you cancel the policy.
All other terms and conditions of this Policy remain unchanged
wc 99 03 69 (01/11)
Authorized Representative
Page 1 of 1
21071271577097 73752A
lanuary 31,2023
RE: United Rentals (North America), Inc. Certificate oflnsurance - IMPORTANT NOTICE
To Whom It May Concern:
Effective December 7, 2022, the assets ofAhern Rentals, Inc. were acquired by United Rentals (North
America), Inc. A certificate ofinsurance reflecting the named insured and coverages ofUnited Rentals
is being furnished. The certificate ofinsurance expires October 7,2023, and, a renewal certificate will
be provided at this time. After the October 1st renewal, hard copies of certificates will no longer be
mailed. Should you have any questions or concerns regarding coverage, please reach out to your
united Rentals, Inc. contact.
To continue receiving a certificate or to indicate that one is no longer needed, please send an email to:
acs.chicago(oaon.com noting your request for United Rentals - Client Number 570000086099.
Concerning an existing contract, ifyou have any questions, please reach out to the United Rentals Legal
Team at LesalDepartment(aur.com
Thank you for your assistance and attention in this matter.
Sincerely,
lot Picl ,9rrrri,u ilortlra4 ho.
Attachment - United Rentals, Inc. Certificate of Insurance
City of Menifee
29714 Haun Road
Menifee CA 92585 USA