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2021/12/31 BHC Crane, LLCDA'E (tall/oDTYYYY) 12t15t2021 THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO 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 PROOUCER, ANO THE CERTIFICATE HOLOER. IMPORTANTT lf the certificate holder is an AODITIONAL INSUREO, the policy{ies) musl have ADDITIONAL INS[rRED provisions or be endorsed. lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endo6ement. A slaiemenl on this certificate does not confer rights lo the certiticate holder in lieu of such endorsement(s). PROOUCER The Dougherty Company, lnc P.O. Box 7277 Long Beach CA 90807 INSI,,REO BHC Crane, LLC PO Box 9077 San Pedro CA 90734 EHCCR-1 CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE N UMBER: 1309475093COVERAGES REVISION Nt'lM8ER: THIS IS TO CERTIFY THAI THE POLICIES OF INSURANCE LISTEO EELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO INDICATED, NOTWTHSTANDING ANY REOUIREMENT, 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, EACH OCCURRENCEUAMAGETdRENT'€-!SqMISE€]E! !!!!E€i!A MED EXP (Any on6 p6E:on) PERSONAL A ADV INJURY GE NERAL AGGREOATE PROOUCTS. COMP/OP AGG S EXCLUDED $ 2,000,000 t 2.000.000 $ 25,000 A1/1/03RS210007102 -1211312021 XCLAIMS-MADE $ 1.000.000 $ s0 000 GEN'LAGGREGATE LIMIT APPLIES PER LOC C X COAIM ERCIAL CEN ERAI LIASILITY ,oa,"" f ffi $ l,OOO OOOA\ /O2R521oO06302 $ s SX S 12113t202',1 12113t2022 X x SCHEOULEO AUTOSNON.OWNED AUTOS ONLY COMBINE D SINGLE LIMIT LEq9@id9!o BOOILY INJURY (Per psrson) BOOIIY INJURY (Por arcdent) PROPERTYOAMAGEG!! a@!9!!) OWNEO HIRED A1JTOS ONLY !ffi",._,H $ 5.000 000 $ 5 000 000 $ 4W04210003002 CLAIMS.MADE c occ EACH OCCI'RRENCE AGGREGATE WORKERSCOI'PEIiSANON AIID EIIPLOYERS' IIABIIITY ANYPROPRIEIOR,FARINETVEXECIJTIVE OFFICER/MEMAER EXCLL-]OED' OESCRIPTION OF OPERATIONS balow 1213t2021 J rzrsrzozz lx l!ffr-. l8I'' ]l,.o"ro"",o.* I,r.ooo.ooo ] a a. o,"*a.*ar".orEE t 1.ooo.ooo ] .,,. o,"ao.ra. "or."t u-rr, l r r,ooo,ooo 904157221 E a291TT2A2 121312421 12t3112022nland Manne -Equ pmonl Floal6r R6nl6d/Loas6d Equrpmenlo OeSCRTPITON oF oPERAlrOllS / |OCATIONS /VEHICLES (ACORD 101, Addltion.l R.m.rt. Sch.dul., may bo.ti.ch.d IrmoE.p.c. i! r.quk.d) Additional insured stalus is provided to all enlrties requrred by wilten contract lo be included as addilional insured but only with .espect to operat,ons performed bv the Named lnsured or on their behalf wlh respecl to General Liabrlity. A warver of subrogalron rs provided as requrred by v,itten contact and applEs with rdspecl to Generat Liabrlity. Coverage attoded by the General Liability is primary and non-contributory in favor of the additional insured per witten contract. Cenificate holder named additional insured for general liability as respecls operations of the named insured per allached endorsement CG2012. CERTIFICATE HOLDER CANCELLATION City of Menifee 29714 Haun Road Menifee CA 92586 O 1988-2015 ACORO CORPORATION. Allrlghts reserved The ACORD name and logo are registered marks ot ACORDacoRD 2s (2016/03) 1211312422 A AUTOIIOAILETIAEILITY 12t13t2021 12t13t2022 10 000.000 5 000,000 1000.000 SHOULO AI{Y OF THE ABOVE OESCRIBED POLICIES BE CAiICELLEO BEFORETHE EXPIRATION DATE THEREOF. NOTICE WLL BE DELIVERED IN ACCORDANCE WlrH THE POLICY PROVISIONS. AIJIHORIZEO REPRESENTATIVE.r\. Ca,qr"o POLICY NUI\,1BER: AW03-RS-21 00071 -02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional lnsured Person(s) Or Orqanization(s)Location(s) Of Covered Operations Any and all jobs/projccts of thc insurcd, where requrrcd by written contract, executed prior to a claim. 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 organization(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 forthe 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 conlract or agreement, the insurance afforded to such additional insured will not be broader lhan that which you are required by the contract or agreemenl to provide for such additional insured. B. With respecl to the insurance afforded to these additional insureds, lhe following additional exclusions apply: This insurance does nol apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (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. cG 20 10 04 13 O lnsurance Services Office, lnc.,2012 Page 'l of 2 COMMERCIAL GENERAL LIABILITY cG 20 10 04 13 COMMERCIAL GENERAL LIABILITY cG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modilies insurance provided under the following COMMERCIAT GENERAL LIABILIry COVERAGE PART PRODUCTS/COI\4PLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional lnsured Person(s) Or Organization(s)Location And Description Of Completed Operations Any and all jobs/projects of the insured, wherc required by written contract, cxccuted prior to a claim. Any and all jobs/projects of the insured, where requircd by written contract, exccutcd prior to a claim. lnformation required to complete this Schedule, if nol 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 organization(s) shown in the Schedule, but only with respecl 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 endorsement performed for that additional insured and included in the "producls-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. cG 20 37 04 13 @ lnsurance Services Office, l^c.,2012 Page 1 of 1 POLICY NUI\.4BER: AW03-RS-2100071 -02 B. With respect to the insurance afforded to these additional insureds, the following is added to Section lll - Limits Of lnsurance: lf coverage provided to the additional insured is required by a conlract or agreemenl, 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. POLICY NUMBER: AW03-RS-21 00071 -02 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: 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 any state or governmenlal 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. 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. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising outof operations performed for the federal government, state or municipality; or b. "Bodily iniury" or "property damage" included within the "products-completed operations hazard". B. With respect to the insurance afforded to these additional insureds, lhe following is added to Section lll - Limits Of lnsurance: 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 lhe 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. cG 20 12 04 13 @ lnsurance Services Oflice, lnc.,2012 Page I of I POLICY NUMBER: AW03-RS-21 00071 -02 COMMERCIAL GENERAL LIABILITY cG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF REGOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COM|\ilERClAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any and all jobs/projects of the insured, where required by written contract, executed prior to a claim lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section lV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that personor organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. cG 24 04 05 09 @ lnsurance Services Offlce, lnc., 2008 Page 1of1 tr STATE FUND ENDORSEMENT AGREEMENT gIAIVER OF SUBROGAT ION BLANKET BASIS EFFECT rVE DECEXBER L3 , 2O2l AT 12 . 0 r A. r.r. AND EXP lR ItlG DECEI.IBER L3 , 2022 AT 12 . 0I A ANY PERSON OR ORGANIZATION FOR WHOT{ THE NAXED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCR IPT I ON REP 01 900L572-2L RENEI{AL sc PAGE 1 OF 1 l,tALL EFFECTIVE DATES AREAT 12101 AM PACIFIC STANOARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME HOME OFFICE SAN FRANCISCO 257 2 scrF foRM r0 BHC CRANE, LLC PO BOX 9077 sAlr PEDRO, CA 90?34 WE HAVE THE RIGHT TO RECOVER OUR PAYXENTS FRO}{ ANYONE LIABLE FOR AN INJLRY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NA},IED IN THE SCHEDULE. THIS AGREEI{ENT APPLIES ONLY TO THE EXTENT THAT YOU PERFOR}{ WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBIAIN THIS AGREE},IENI FROX US. THE ADDITIONAL PRE}IIU POR THIS ENDORSEUENT SITALL BE 2.007 OF THE TOTAL POLICY PRE}IIUH. SCHEDULE COUNTERSIGNED AND ISSIJED AT SAN FRANCISCO: DECEMBER B LANKET HAIVER OF SUBROGATION Lt, 2O2L /.-,.- dl--"--^-- PRESIDENT AND CEO#^*#,2r7 IBEV.7.20t4)oLo DP 217 PERSON OR ORGANIZATION NOTHING IN THIS ENOOBSEMENT CONTAITED SHALL BE HELO TO VA8Y, ALTEB, WAIVE OB EXTEND ANY OF THE TEBMS, CONDITIONS, AGREEMENTS, OB LIMITATIONS OF THIS POLICY OTHER THAN AS STATEO. NOTHING ELSEWHERE IN THIS POLICY SHALL 8E HELO TO VARY, ALTEB, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGBEEMENTS OR LIMITATIONS OF THIS ENDOBSEMENT.