Rigger. Buyer must take full responsibility for and exercise all reasonable care to ensure that there is no release to the environment of any hazardous wastes or substances as are defined in applicable Federal, State and Local Statutes, Regulations, Rules or Ordinances. PRODUCER Your Insurance Broker XX Xxx 000 Xxxxxxxx, XXX 00000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: XYZ Huge Insurance Company Your Rigger of Choice, Inc. INSURER B: 000 Xxxx Xx XXXXXXX X: Anywhere, USA 56789 INSURER D: INSURER E: ACORDTM 01/01/2012 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 123-12345 01/01/12 01/01/13 GENERAL AGGREGATE $ 2,000,000 GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC JECT AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 A COMBINED SINGLE LIMIT (Ea accident) x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N O N-OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE RETENTION $ 0.00 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/2013 WC STATU - TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 300,000 SPECIAL PROVISIONS below A OTHER Riggers Legal Liability 4017950415 01/01/12 01/01/13 $1,000,000 Products Aggregate shown applies "Per Project". It is understood and agree that the Certificate Holder is named as an Additional Insured on all policies with respect to any work performed by the above insured. Blackbird Asset Services, LLC 0000 Xxxx Xx #000 Xxxxxxxxxxxxx, XX 00000
Appears in 1 contract
Samples: Auction Bidder Agreement
Rigger. Buyer must take full responsibility for and exercise all reasonable care to ensure that there is no release to the environment of any hazardous wastes or substances as are defined in applicable Federal, State and Local Statutes, Regulations, Rules or Ordinances. PRODUCER Your Insurance Broker XX Xxx 000 Xxxxxxxx, XXX 00000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: XYZ Huge Insurance Company Your Rigger of Choice, Inc. INSURER B: 000 Xxxx Xx XXXXXXX X: Anywhere, USA 56789 INSURER D: INSURER E: ACORDTM 01/01/2012 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A $ 300,000 X COMMERCIAL OCCUR $ 10,000 PRODUCTS - COMP/OP AGG GENERAL LIABILITY AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person) DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 01/01/13 01/01/12 123-12345 01/01/12 01/01/13 GENERAL AGGREGATE $ 2,000,000 X GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT LOC JECT AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 x A COMBINED SINGLE LIMIT (Ea accident) x ANY AUTO X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N O N-OWNED AUTOS $ 1,000,000 BODILY INJURY (Per accident) BODILY INJURY (Per person) $ X BODILY INJURY COMBINED SINGLE LIMIT (Per Ea accident) $ X $ PROPERTY DAMAGE (Per accident) 01/01/13 01/01/12 BAP-456 01/01/13 OTHER THAN AUTO ONLY: 01/01/12 UMB 123-12345 $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 X A OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE RETENTION $ 0.00 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/2013 If yes, describe under SPECIAL PROVISIONS below X DEDUCTIBLE RETENTION A CLAIMS MADE $ 0.00 $ 1,000,000 AGGREGATE $ $ $ WC STATU - TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 300,000 SPECIAL PROVISIONS below A OTHER Riggers Legal Liability 4017950415 01/01/12 01/01/13 $1,000,000 Products Aggregate shown applies "Per Project". It is understood and agree that the Certificate Holder is named as an Additional Insured on all policies with respect to any work performed by the above insured. Blackbird Asset Services, LLC 0000 Xxxx Xx #000 Xxxxxxxxxxxxx, XX 00000EMPLOYEE
Appears in 1 contract
Samples: Auction Bidder Agreement
Rigger. Buyer must take full responsibility for and exercise all reasonable care to ensure that there is no release to the environment of any hazardous wastes or substances as are defined in applicable Federal, State and Local Statutes, Regulations, Rules or Ordinances. PRODUCER Your Insurance Broker XX Xxx 000 XxxxxxxxPO Box 504 Anywhere, XXX 00000 USA 56789 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: XYZ Huge Insurance Company Your Rigger of Choice, Inc. INSURER B: 000 Xxxx Xx XXXXXXX XINSURER C: Anywhere, USA 56789 INSURER D: INSURER E: ACORDTM 01/01/2012 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 123-12345 01/01/12 01/01/13 GENERAL AGGREGATE $ 2,000,000 GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC JECT AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 A COMBINED SINGLE LIMIT (Ea accident) x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N O N-OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE RETENTION $ 0.00 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/2013 WC STATU - TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 300,000 SPECIAL PROVISIONS below A OTHER Riggers Legal Liability 4017950415 01/01/12 01/01/13 $1,000,000 Products Aggregate shown applies "Per Project". It is understood and agree that the Certificate Holder is named as an Additional Insured on all policies with respect to any work performed by the above insured. Blackbird Asset Services, LLC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 0000 Xxxx Xx #000 XxxxxxxxxxxxxWilliamsville, XX 00000NY 14221 Lot- (3) pneumatic peen chisels - Jet model XxX-24 Quantity: 1 Lot- (2) pneumatic Peen-A-Cleaner Quantity: 1 Lot- (3) pneumatic peen chisels - Jet model XxX-24 Quantity: 1 Lot- (2) pneumatic Peen-A-Cleaner Quantity: 1 Lot- (3) pneumatic peen chisels Quantity: 1 Lot- (3) pneumatic peen chisels Quantity: 1 Lot- (3) pneumatic peen chisels Quantity: 1 Lot - toolbox and contents Quantity: 1 Lot- (2) pneumatic Dayton chisels Quantity: 1 Lot- (3) Oxygen tanks and (1) Acetylene tank (tanks may NOT be owned, buyer responsible to return any leased tanks to rightful owner) Quantity: 1 Lot- Propane heat-wrap shrink tool Quantity: 1 Lot- Contents of room- shelves and contents of 3M breathing filters, disposable cover-alls, sheep skin wipes, hose, rolls of caution tape AND Contents above room- office shelving, chairs, desks, misc.… Quantity: 1 Lot- (1) Lift clamp and (5) bar clamps Quantity: 1 Lot- Hydraulic cylinders - (7) Chief cylinders (3 @ 3 1/2" x 18" x 1.5', 2 @ 4" x 24" x 2' and 2 @ 1" x 18" x 1') Lot- Shelves and contents of shelving- misc. truck parts, hoses, clamps, bearings, fittings, mirrors, shelving… Quantity: 1 Quantity: 1 Lot- Contents of wall- mechanic tools, sockets, wrenches, wipers, wire, nuts, bolts, hard hats, thinners… Husky Pro 7 HP, 60 gallon, 11.8 CFM (@40 PSI) compressor model VT631402AJ, 220V, 135 max PSI Quantity: 1 Quantity: 1 Lot- (9) Misc. rubber boots and Cabella hip waders Quantity: 1 Titan Industrial 8 gallon air compressor, gasoline powered, 208 series, model TAC-2T, SN TAC23179 Quantity: 1 Lot- Contents of room- shelves and contents of staple guns, staples, chain hooks, Blast Master light converter, 220V Quantity: 2 sealants, wheels, hose, parts, clamps, filter bags, shelving… Quantity: 1 Lot- Misc. ropes, fan belts, block and tackle… Quantity: 1 Lot- Various safety straps, fall protection, etc. Quantity: 1
Appears in 1 contract
Samples: Auction Bidder Agreement
Rigger. Buyer must take full responsibility for and exercise all reasonable care to ensure that there is no release to the environment of any hazardous wastes or substances as are defined in applicable Federal, State and Local Statutes, Regulations, Rules or Ordinances. PRODUCER Your Insurance Broker XX Xxx 000 XxxxxxxxPO Box 504 Anywhere, XXX 00000 USA 56789 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: XYZ Huge Insurance Company Your Rigger of Choice, Inc. INSURER B: 000 Xxxx Xx XXXXXXX XINSURER C: Anywhere, USA 56789 INSURER D: INSURER E: ACORDTM 01/01/2012 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A $ 300,000 CLAIMS MADE X COMMERCIAL OCCUR $ 10,000 PRODUCTS - COMP/OP AGG GENERAL LIABILITY AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person) DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 01/01/13 01/01/12 123-12345 01/01/12 01/01/13 GENERAL AGGREGATE $ 2,000,000 X GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT LOC JECT AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 x A COMBINED SINGLE LIMIT (Ea accident) x ANY AUTO X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N O N-OWNED AUTOS $ 1,000,000 BODILY INJURY (Per accident) BODILY INJURY (Per person) $ X BODILY INJURY COMBINED SINGLE LIMIT (Per Ea accident) $ X $ PROPERTY DAMAGE (Per accident) 01/01/13 01/01/12 BAP-456 01/01/13 OTHER THAN AUTO ONLY: 01/01/12 UMB 123-12345 $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 X A OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE RETENTION $ 0.00 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/2013 If yes, describe under SPECIAL PROVISIONS below X DEDUCTIBLE RETENTION A CLAIMS MADE $ 0.00 $ 1,000,000 AGGREGATE $ $ $ WC STATU - TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 300,000 SPECIAL PROVISIONS below A OTHER Riggers Legal Liability 4017950415 01/01/12 01/01/13 $1,000,000 Products Aggregate shown applies "Per Project". It is understood and agree that the Certificate Holder is named as an Additional Insured on all policies with respect to any work performed by the above insured. Blackbird Asset Services, LLC 0000 Xxxx Xx #000 Xxxxxxxxxxxxx, XX 00000EMPLOYEE
Appears in 1 contract
Samples: Auction Bidder Agreement
Rigger. Buyer must take full responsibility for and exercise all reasonable care to ensure that there is no release to the environment of any hazardous wastes or substances as are defined in applicable Federal, State and Local Statutes, Regulations, Rules or Ordinances. PRODUCER Your Insurance Broker XX Xxx 000 XxxxxxxxPO Box 504 Anywhere, XXX 00000 USA 56789 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: XYZ Huge Insurance Company Your Rigger of Choice, Inc. INSURER B: 000 Xxxx Xx XXXXXXX XINSURER C: Anywhere, USA 56789 INSURER D: INSURER E: ACORDTM 01/01/2012 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A $ 300,000 CLAIMS MADE X COMMERCIAL OCCUR $ 10,000 PRODUCTS - COMP/OP AGG GENERAL LIABILITY AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person) DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 01/01/13 01/01/12 123-12345 01/01/12 01/01/13 GENERAL AGGREGATE $ 2,000,000 X GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT LOC JECT AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 x A COMBINED SINGLE LIMIT (Ea accident) x ANY AUTO X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N O N-OWNED AUTOS $ 1,000,000 BODILY INJURY (Per accident) BODILY INJURY (Per person) $ X BODILY INJURY COMBINED SINGLE LIMIT (Per Ea accident) $ X $ PROPERTY DAMAGE (Per accident) 01/01/13 01/01/12 BAP-456 01/01/13 OTHER THAN AUTO ONLY: 01/01/12 UMB 123-12345 $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 X A OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE RETENTION $ 0.00 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/2013 If yes, describe under SPECIAL PROVISIONS below X DEDUCTIBLE RETENTION A CLAIMS MADE $ 0.00 $ 1,000,000 AGGREGATE $ $ $ WC STATU - TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT 01/01/2013 01/01/2012 WC 123-12345a $ 100,000 If yes, describe under $ 100,000 01/01/13 E.L. DISEASE - POLICY LIMIT $ 300,000 SPECIAL PROVISIONS below 01/01/12 4017950415 A OTHER Riggers Legal Liability 4017950415 01/01/12 01/01/13 $1,000,000 Products Aggregate shown applies "Per Project". It is understood and agree that the Certificate Holder is named as an Additional Insured on all policies with respect to any work performed by the above insured. Blackbird Asset Services, LLC 0000 Xxxx Xx #000 XxxxxxxxxxxxxWilliamsville, NY 14221 Trottnow M achine Specialties 5/31/2017 EB 1 Grinder and drills Lot- Dewalt angle grinder, M akita DA3000A angle drill and Black & Xxxxxx #7224 1/2" drill Quantity: 1 6 Chicago 92115 swivel head shear Lot- Chicago Electric model 92115 14 gauge swivel head shear and 7" variable speed #92623 polisher/sander Quantity: 1 2 Bosch 1706AE angle grinder Lot- Bosch #1706AE angle grinder and M etabo angle grinder Quantity: 1 7 CP 46061 air nibbler Central Pneumatic #46061 air nibbler, Central pneumatic 1/4" air angle die grinder and one Central pneumatic grinder Quantity: 1 3 Bostitch nailer Bostitch model N80 clipped head nailer Quantity: 1 4 Chicago impact wrench Chicago Pneumatic #611 1" pneumatic impact wrench Quantity: 1 Lot- CP #9315 air chisel/hammer and (3) PAH7 air ace impact hammers Quantity: 1 Central Pneumatic 951 needle scaler Quantity: 1 10 B& D 499, Chicago grinder 5 B& D 5191 impact wrench and Thor and nutsetter Lot- Black & Xxxxxx #5191/2" heavy duty electric impact wrench and Thor EL23R 1/2" corded screwdriver nutsetter Quantity: 1 Lot- Black & Xxxxxx #499 corded die grinder, Chicago wheel mfg. hi power grinder, Handee Trademaster #2000A corded die grinder Quantity: 1 11 Xxxxxxxxx Xxxx, Dynabrade grinders Lot- (2) Xxxxxxxxx Xxxx #317 high speed air xxxxxxx, Dynabrade #51007 pneumatic die grinder, Central Pneumatic #CP875 die grinder and (3) Black & Xxxxxx #4420 air die grinders Quantity: 1 12 Dynabrade xxxxxxx Lot- (2) Dynabrade air D/A xxxxxxx Quantity: 1 13 Dynabrade 40320, 04070 belt xxxxxxx Lot- Dynabrade #40320 Dynafile II air belt sander and Dynabrade #04070 air belt sander Quantity: 1 14 Dynabrade 11475 belt sander Dynabrade #11475 air belt sander Quantity: 1 15 B& D drill and grinder Lot- Black & Xxxxxx 1/2" heavy duty corded drill and pneumatic grinder Quantity: 1 16 Huck 353 rivet gun and squeezer Lot- Huck model 353 air rivet gun and Xxxxx W hitney #2 Redi-Set rivet squeezer Quantity: 1 17 Xxxxxx Cable 347 circular saw Xxxxxx Cable model 347 7 1/4" heavy duty builders circular saw Quantity: 1 18 B& D 1554 magnetic drill press Black & Xxxxxx #1554 two speed 1 1/4" heavy duty magnetic drill press Quantity: 1 19 M arch H 1/2 stencil machine M arsh model H 1/2" stencil machine with manual Quantity: 1 20 Lot of electronics Lot of electronics- Xxxxxx-Xxxxxx D730 monitor with manual and software, assorted motor starters, control systems, research model NC104B-59, DC power amplifier Quantity: 1 21 M etal stamps Lot- Assorted metal stamps Quantity: 1 22 XX 00000xxxxxxx Lot- (3) Central Pneumatic XX xxxxxxx Quantity: 1 Lot- (3) Central Pneumatic XX xxxxxxx Quantity: 1 29 Gibraltar clamps Lot- (3) Gibraltar 6" drop forged steel "C" clamps Quantity: 1
Appears in 1 contract
Samples: Auction Bidder Agreement
Rigger. Buyer must take full responsibility for and exercise all reasonable care to ensure that there is no release to the environment of any hazardous wastes or substances as are defined in applicable Federal, State and Local Statutes, Regulations, Rules or Ordinances. PRODUCER Your Insurance Broker XX Xxx 000 XxxxxxxxPO Box 504 Anywhere, XXX 00000 USA 56789 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: XYZ Huge Insurance Company Your Rigger of Choice, Inc. INSURER B: 000 Xxxx Xx XXXXXXX XINSURER C: Anywhere, USA 56789 INSURER D: INSURER E: ACORDTM 01/01/2012 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 A ✔ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 123-12345 01/01/12 01/01/13 GENERAL AGGREGATE $ 2,000,000 GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT LOC JECT A AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 A COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ✔ x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N O N-OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 ✔ X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE RETENTION $ 0.00 $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC 123-12345a 01/01/2012 01/01/2013 WC STATU - TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 300,000 SPECIAL PROVISIONS below A OTHER Riggers Legal Liability 4017950415 01/01/12 01/01/13 $1,000,000 Products Aggregate shown applies "Per Project". It is understood and agree that the Certificate Holder is named as an Additional Insured on all policies with respect to any work performed by the above insured. Blackbird Asset Services, LLC 0000 Xxxx Xx #000 XxxxxxxxxxxxxWilliamsville, NY 14221 01/01/2012 Lot of (2) Dynabrade pneumatic XX 00000xxxxxxx Quantity: 1 Milwaukee electric disc grinder model 6140, 10,000 RPM, serial number 762F80542048 Quantity: 1
Appears in 1 contract
Samples: Auction Bidder Agreement
