HAAKER EQUIPMENT COMPANY - Laserfiche WebLink

Home

ACOR69 CERTIFICATE OF GARAGE INSURANCE DATE (MM/DD/YYYY) 05/21/2018 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 Dante Cipulli CONTACT Sentry Customer Service NAME: PHONE 800-473-6879 (A/C, No, Ext): FAX 800-514-7191 (A/C, No): EMAIL ADDRESS: businessproductsdirect@sentry.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Sentry Select Insurance Company 21180 INSURED INSURER B : 4967081005 Haaker Equipment Company 2070N N Ave La Verne,e, CAA 91750-5679 APPROVED INSURER C INSURER D : OTHER THAN AUTO ONLY INSURER E : $ 500,000 INSURER F : COVERAGES PROD / CUSTOMER ID: CERTIFICATE #: 1212948 REVISION #: 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 LTR TYPE OF INSURANCE ADDL INSRD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A A GARAGE LIABILITY 1ANY AUTO X OWNED AUTOS ONLY — — HIRED AUTOS ONLY NON -OWNED AUTOS USED IN GARAGE BUSINESS X 4967081005 05/01/2018 05/01/2019 AUTO ONLY (Ea accident) $ 500,000 OTHER THAN AUTO ONLY EA ACCIDENT $ 500,000 AGGREGATE $ 2,500,000 A GARAGE X KEEPERS LEGAL LIABILITY DIRECT BASIS LIABILITYCOMP n EXCESS X 4967081005 05/01/2018 05/01/2019 X — / OTC LOC PERILSIED LOC 1 $ 1,000,000 $ X COLLISION LOC LOC 1 $ 1,000,000 X PRIMARY $ A X COMMERCIAL GENERAL LIABILITY X OCCUR 4967081004 05/01/2018 05/01/2019 EACH OCCURRENCE $ 500,000 CLAIMS -MADE PREMISESO(Ea RENTED $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 1 POLICY ❑ PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000 OTHER $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 4967081006 05/01/2018 05/01/2019 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 30,000,000 DED RETENT ON $ PRODUCTS - COMP/OP AGG $ 30,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y / N (Mandatory in NH) ❑ If yes, describe under REMARKS below N / A PERTUTE pT ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Refer to attached CERTIFICATE HOLDER CANCELLATION City of Riverside Risk Management 3900 Main St Riverside, CA 92522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE NTATIV / ACORD 30 (2016/03) 4967081 Sentry Select Insurance Company 1 00001 0000000000 18141 0 N Page 1 of 2 © 2010-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 05/21/2018 b002e2da-927c-4203-a750-96a1dbae60a5 0027020044345220927092522000100