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GA COLA�oRo® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/25/2024 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 CONTACT NAME: Susan Gore Cobbs Allen 115 Office Park Drive, Suite 200 PHONE FAX A/C No): ac No Ext : 205-874-1305 (A/C. AD RIESS: S ore cobbsallen.com Birmingham AL 35223 INSURERS AFFORDING COVERAGE NAIC N INSURER A: National Union Fire 19445 INSURED GAWES-2 INSURER B : New Hampshire Ins. Company 23841 G. A. West & Company, LLC Legacy Equipment, LLC INsuRERc: Starr Indemnity & Liability Company 38318 INSURER D : Transguard Insurance (IAT) 28886 PO Box 367 INSURER E : Saraland AL 36571 INSURER F : COVERAGES CERTIFICATE NUMBER: 1197314587 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 LTR TYPE OF INSURANCE ADDL SUBR V POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL5268207 4/1/2024 4/1/2025 EACH OCCURRENCE $2,000,000 CLAIMS -MADE DAMAGE TO RENTED occurrence $ 500,000 MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY JECOT- LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY CA4489700 4/1/2024 4/1/2025 COMBINED SINGLE LIMIT Ea accident $ 2 000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPEDAMAGE Per accRTY ident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY C UMBRELLALIAB X OCCUR 1000585658241 4/1/2024 4/1/2025 EACH OCCURRENCE $5;000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE 1 N I OFFICER/MEMBER EXCLUDED? N/A WC15893758 4/1/2024 4/1/2025 PER J X STATUTE I EERH E.L. EACH ACCIDENT $2,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 D Leasted & Rented Equipment IMP400079001 4/1/2024 4/1/2025 Per Occurrence/Item 2,500,000 Contractor's Equipment Owned Scheduled DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as additional insured as respects to General Liability and Loss Payee with respects to leased and rented equipment as required by written contract. L&R coverage includes boom, jib and overload �yaau�iieu�:L•�.L�a: • , City of Blair, Nebraska 218 S. 16th Street Blair NE 68008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD