2022/05/01 Haaker Equipment Company (3)--.
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COVERAGES PROO / CUSTOMEB ID
CERTIFICATE HOLDEB
CERTIFICATE OF GARAGE INSURANCE
cEHTtFtCATE #: 1790667 BEVISION I
CANCELLATION
Pogo 1 ol2 @ 2010-2015 ACOFD COBPORATION. All dghts rca.rvcd.
Tho ACORD namo ond logo oro rogist6rod marks of ACORD OS/15/2O22
09854F59-5968-474F-902F-6779E7E31574 0027020044364543424192586653944
FE
tr+l
FE
M.nil.. CA 92336-6539
SHOUIO AI{Y OF THE ABOVE OESCBISEO POLICIES SE CANCELLEO BEFORE
THE EXHAANON DATE THEBEOF. NO]ICE wlLL BE DELIVEFED IN ACCOAOAflCE
WTH THE POLICY PBOVISIONS.*'W*lryn/"^i
OAIE (M'IUOO'YYYY)
0311512022
THIS CERTIFICATE IS ISSUED AS A MAITER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE R(S),AUTHORIZED REPRESENTATIVE OR PROOUC ER, AND THE CERTIFICATE HOLDER,
IMPORTANT: lf tho certificato holdor is an ADDITIONAL INSUREO, the policy(i6s) must
ot th6 policy,€ndorsod. lI SUBROGATION lS WAIVED, subiect to the torms and conditions
ghts to th6 cortitlcrtg holdor in llou ol auoh ondorsemont(s).
hsvo ADOITIONAL INSURED provisions or b6c6dain policies may roquire an 6ndorsom6nt. Astotsmgnt on this oertificato do6s not conlgr rl
fi!flpcT se.rry cusr*ner se,ric"
300-514-7191
l$$lL..r. o""i""".e.a,cc direcrosry.cm
INSUAEBlS} AFFONDIfl G COVERAGE
PffODUCEB
1B0o N(rth Pdni Ddv.
St€vs8 Poini, Wl5a461
INSUEEF A: S.h!'y Sel€c1 nsurac. Cornpany 21130
INSURES 8 ;
INSUBEA O
INSUREF E
IN$UFED
Haakd Eguipmsl Cnpsy
La Vsne, CA 9l?50-5679
INSUBEF F
I
-
THIS IS TO CERTIFY THAT THE POLICIES OF INSUMNCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSUREO NAMED AEOVE FOR THE POLICY PERTOO
INDICATED. NOTWITHSTANDING ANY REOUIFIEMENT. TERM OR CONDITION OF ANY CONTRACI OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUBANCE AFFORDEO BY THE POL1CIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES, LIMITS SHOWN I''AY HAVE BEEN REDUCEO BY PAIO CLAIMS,
INSF TYPE OF INSUBANCE AOOL
INSRO
SUBS POLICY NUMSEF (MM/DO/YYYY)
POLICY EXP LIMITS
GAFAGE LIABILITY HINED AUIOS
ONLY
NON.OWNED
AUTOS USEDIN GABAGE
BUSINESS
x
OWNEDAUIOS ONLY
05t01t20?2 o5tal/2023
AUio oNLY (Ea .ccid.hl)s s00,000
OIHER THAII
AUTO ONLY
EA ACCIDENT 5 500,000
ACGBEGATE s 2,500,000
GANAGE KEEPEFS LIABILITY
LE6AL fIAEILITY
DIAEGT AASS
D(CESS
4967081005 o5lo1l2a22 05/01/2023
X COMP /orc
SPECIFIEDPEFILS
LOC
LOC
1 5 i 320,000
$
X coLUstoN LOC
LOC
1 s I,320,000
s
X COMMERCIAL GENEBAL I"IABIIITY
CLA MS.MADE OCCUF
GEN'L AGGFEGATE LIMITAPPLIES PEB
x POLICY
OTI,]EF
!5ff;4,""
X
a51a112022 ar0112023
EACH OCCUSAENCE s 500,000
s 1o0.oo0
MED EXP (Any 6. p Bo.)s 5,000
PEBSONAL & ADV INJUFY s 500.000
GEN EFA! AG6BE6ATE $ 1,000,000
PBODUCTS , COMP/OP ACI]s 1,000,000
x UMBAELLA I-IAB
EXCESS LIAB
X OCCUF
CLAIMS.MADE o5/o112022 o5/o112023
EACH OCCUBFENCE s 1o,0oo 000
x
OED BETENTION S PBODUCTS . COMP/OP AGO 5 30,000 000
WOTt(EqS COMPENSATION
AND EMPLOYEBS' LIABILITY
ANY PFOPB ETOB/PAFTNEF/D(ECUTIVE
OFFICEF/MEMSER E{CLUOED? Y / N
STAruTE ?AH
E.L EACH ACCID€NI s
E.L OISEASE- EA EMPLOYEE S
E L OISEAS€. POLCY IIMII s
AEMAEKS (ACORO 101. Addillon.l Bem.rk. Schedole, may b. str.ch.d i, mor. dp6ce i6 roqoir.d)
ACORD 30 (2016/03)
4967081
Sentry Select lnsurance Company3 00002 0000001216 22074 N a 0
INSUBEF C;
s
Al]GFEGATE
oiQo"AGENCY CUSTOMER ID:x)OOI)oi6(lc4
LOC #:
@ 20OB ACORD COHPORATION. All rights rosorved.
Tho ACORD nam6 and logo oro rcgisterod marks oI ACORD 03/15/2022
ADDITIONAL REMARKS SCHEDULE
AGETICY
offr. cipuli
NAMEO INSUBEO
Haakor Equhmo.rt Company
POTICYNUMSER
CAFBIEB
S.ntry Sel.cl lnall ance Company
NAtC COOE
2llB0 EFFECTTVEDATE: 05/01/2022
ADDITIONAL REMARKS
THIS ADDITIONAL BEMABKS FOBM IS A SCHEDULE TO ACOFD FORM,
FOBM NUMBEBT ACOFID30 FOFM TITLE: Certificaio Of Garasg lnsuranco
Garagekeepers Liability
Location fl State Basis Collision Limit
s 300,000
$ 2oo,ooo
$ 2oo,ooo
Comp/OTC/Specilied Perils Limit
$ 300,000
$ 2oo,ooo
$ 200,000
2
4
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Liability
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ACoRD r0r (2008/01)
49670a1
Sentry Selecl lnsurance Company