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HomeMy WebLinkAboutRoadrunner Crane ServicesAC�RD0 `� CERTIFICATE OF LIABILITY INSURANCE DATE tMMIDDNYYY) en12024 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 endorsements . PRODUCER HUB International Northwest, LLC PO Box 10167 Eugene OR 97440 NTACT CNAOAngela San I PHONE FAx • 541-687-1117 ac No:541-342-8280 ADORES$: an ela.san I hubinternational.com INSURERS AFFORDING COVERAGE NAILS INSURER A: Scottsdale Insurance Company 41297 INSURED ROADTOW-01 INSURER 8 Roadrunner Towing Inc DBA: Roadrunner Crane Service INSURERC: INSURER D : 3988 Hwy 201 Ontario OR 97914 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER:887024998 REVISION NUMBER: 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' L EFF EXP LPOLICY og,TYPE OF INSURANCE pY I MLCY LIMITS N M NUMBER A X COMMERCIAL GENERAL LIABILITY Y Y RBS0016368 1 5/1/2024 S1112025 EACH OCCURRENCE $ 1,000.000 _ TO RENTED CLAIMS -MADE OCCUR TREMISES PREMISE IEa octurr#noe) $ 50,000 �_ MED EXP �Anp onepersan) _ s 0 X . On Hook Coverage 1 PERSONAL S ADV INJURY $ 1.000. 00 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 � JET i I - POLICY LOC - PRODUCTS - COMP/OP AGG S 2,000,00D OTHER: Over The Road Liab, $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SIN LIMIT$ _ iEa a:,nGe�l I ANY AUTO BODILY INJURY (Per person) $ _—_ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per acciOenl) $ 2.000 000 A UMBRELLA LIAB X OCCUR Y Y XLS0122162 5,M024 511i2025 EACH OCCURRENCE X EXCESS LIAB CLAIMS -MADE AGGREGATE $ 2.000 000 DED RETENTION$ E WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN S'' TUTE ___ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT S OFFICERIMEMBEREXCLUDED? MIA E (Mandatory In NH) r E.L. DISEASE - EA EMPLOYEE: $ If yes, describe under - _ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A General Liability Y I Y RBS0016368 51112024 S1112025 Deductible: 5.000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101 Additional Remarks Schedule, maybe attached It more space Is required) Certificate holder and all entities required by written contract are included as additional insureds on a primary and non-contributory basis with waiver of subrogation with respects to the general liability as required by written contract per attached endorsements Subject to policy limit', tti", Conditions and exclusions. Umbrella follows form A AUG - 3 2024 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Caldwell PO Box 1179 AUTHORIZED REPRESENTATIVE Caldwell ID 83606 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD