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 PO Box 504 Anywhere, 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 INSURER C: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY A C X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X JECT PRO- POLICY LOC AUTOMOBILE LIABILITY A C x ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE A X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/2013
Appears in 1 contract
Samples: www.blackbirdauctions.com
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 PO Box 504 Anywhere, 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 INSURER C: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/( MM/ DD/ YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) POLICY EFFECTIVE DATE (MM/DD/YY) LIMITS POLICY NUMBER TYPE OF INSURANCE ADD'L INSRD INSR LTR A GENERAL LIABILITY A C X COMMERCIAL GENERAL LIABILITY LIMITS EACH OCCURRENCE $ 1,000,000 $ 300,000 CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 10,000 PRODUCTS - COMP/OP AGG GENERAL AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person) DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L 1,000,000 01/01/13 01/01/12 123-12345 $ 2,000,000 X GEN' L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- JECT PRO- POLICY LOC x AUTOMOBILE LIABILITY A C 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) COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 PROPERTY DAMAGE (Per accident) 01/01/13 01/01/12 BAP-456 $ 1,000,000 GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 01/01/13 OTHER THAN AUTO ONLY: 01/01/12 UMB 123-12345 EA ACC AGG $ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE A X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER A OCCUR WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below X DEDUCTIBLE RETENTION A CLAIMS MADE $ 0.00 $ 1,000,000 AGGREGATE $ $ $ WC 123-12345a 01/01/2012 01/01/2013STATU - TORY LIMITS OTH- ER E.L. DISEASE - EA EMPLOYEE
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 PO Box 504 Anywhere, 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 INSURER C: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD C TYPE OF INSURANCE GENERAL LIABILITY X POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) EACH OCCURRENCE DAMAGE TO RENTED LIMITS GENERAL LIABILITY $ 1,000,000 A C X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L CLAIMS MADE X OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY $ 10,000 $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN' L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT PRO- POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A C x X X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N O N-OWNED AUTOS BAP-456 01/01/12 01/01/13 (Ea accident) BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 1,000,000 $ $ PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 A C X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION $ 0.00 UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - $ $ $ OTH- TORY LIMITS ER WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/201301/01/2013 TORY LIMITS
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 PO Box 504 Anywhere, 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 INSURER C: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/( MM/ DD/ YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) POLICY EFFECTIVE DATE (MM/DD/YY) LIMITS POLICY NUMBER TYPE OF INSURANCE ADD'L INSRD INSR LTR A GENERAL LIABILITY A C X COMMERCIAL GENERAL LIABILITY LIMITS EACH OCCURRENCE $ 1,000,000 $ 300,000 CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 10,000 PRODUCTS - COMP/OP AGG GENERAL AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person) DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L 1,000,000 01/01/13 01/01/12 123-12345 $ 2,000,000 X GEN' L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- JECT PRO- POLICY LOC x AUTOMOBILE LIABILITY A C 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) COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 PROPERTY DAMAGE (Per accident) 01/01/13 01/01/12 BAP-456 $ 1,000,000 GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 01/01/13 OTHER THAN AUTO ONLY: 01/01/12 UMB 123-12345 EA ACC AGG $ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE A X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER A OCCUR WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 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. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT 01/01/2013 01/01/2012 WC 123-12345a 01/01/2012 01/01/2013$ 100,000 $ 100,000 01/01/13 E.L. DISEASE - POLICY LIMIT $ 300,000 OTHER 01/01/12 4017950415 A Riggers Legal Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS $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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackbird Asset Services, LLC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 0000 Xxxx Xx #000 Williamsville, NY 14221 XXXXX 25 (2001/08) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE XXXXX CORPORATION 1988 Trottnow M achine Specialties 5/31/2017 EB LOT # 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 LOT # 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 xxxxxxx Lot- (3) Central Pneumatic XX xxxxxxx Quantity: 1 LOT # 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: www.blackbirdauctions.com
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 PO Box 504 Anywhere, 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 INSURER C: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY A C 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 ✔ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT PRO- POLICY LOC A AUTOMOBILE LIABILITY A C x ANY AUTO BAP-456 01/01/12 01/01/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ✔ x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 X PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE A $ 1,000,000 ✔ X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER X $ A WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC 123-12345a 01/01/2012 01/01/201301/01/2013 WC STATU - TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 300,000 A OTHER Riggers Legal Liability 4017950415 01/01/12 01/01/13 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackbird Asset Services, LLC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 0000 Xxxx Xx #000 Williamsville, NY 14221 XXXXX 25 (2001/08) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE XXXXX CORPORATION 1988 XXXXX XX CERTIFICATE OF LIABILITY INSURANCE DATE ( MM/ DD/ YYYY) 01/01/2012 BUYER’S PREMIUM A DISCOUNTED BUYER’S PREMIUM OF 18% OF THE BID PRICES WILL BE ADDED TO THE BID PRICE FOR EACH LOT FOR BUYER’S WHO PAY IN THE FORM OF CASH, CASHIER’S CHECK, COMPANY CHECK (WITH A LETTER OF GUARANTEE) OR WIRE TRANSFER ON-SITE. AN ADDITIONAL 3% CONVENIENCE FEE SHALL APPLY FOR BUYERS WHO PAY WITH A CREDIT CARD Buffalo Outfront 1/21/2015 LOT # 1 Inv#: 6862 Xxxxxx Lot of (2) Dynabrade pneumatic XX xxxxxxx Quantity: 1 LOT # 6 Inv#: 6867 Grinder Milwaukee electric disc grinder model 6140, 10,000 RPM, serial number 762F80542048 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 PO Box 504 Anywhere, 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 INSURER C: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/( MM/ DD/ YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD 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 C X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 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 PRO- POLICY LOC AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 A C x ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 X PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE A $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER X $ A WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/201301/01/2013 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackbird Asset Services, LLC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 0000 Xxxx Xx #000 Williamsville, NY 14221 XXXXX 25 (2001/08) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE XXXXX CORPORATION 1988 BUYER’S PREMIUM A DISCOUNTED BUYER’S PREMIUM OF 15% OF THE BID PRICES WILL BE ADDED TO THE BID PRICE FOR EACH LOT FOR BUYER’S WHO PAY IN THE FORM OF CASH, CASHIER’S CHECK, COMPANY CHECK (WITH A LETTER OF GUARANTEE) OR WIRE TRANSFER ON-SITE. THE FULL BUYER’S PREMIUM OF 18% SHALL APPLY FOR BUYERS WHO PAY WITH A CREDIT CARD ON INVOICES UNDER $5,000 AN ADDITIONAL 3% CONVENIENCE CHARGE WILL BE ADDED TO THOSE WHO UTILIZE INTERNET BIDDING Marine Steel Painting 11/18/2014-11/19/2014 LOT # 1 Inv#: 6568 Chisel Lot- (3) pneumatic peen chisels - Jet model XxX-24 Quantity: 1 LOT # 6 Inv#: 6573 Cleaner Lot- (2) pneumatic Peen-A-Cleaner Quantity: 1 7 Inv#: 6574 Cleaner 2 Inv#: 6569 Chisel Lot- (3) pneumatic peen chisels - Jet model XxX-24 Quantity: 1 Lot- (2) pneumatic Peen-A-Cleaner Quantity: 1 8 Inv#: 6575 Misc 3 Inv#: 6570 Chisel Lot- (3) pneumatic peen chisels Quantity: 1 4 Inv#: 6571 Chisel Lot- (3) pneumatic peen chisels Quantity: 1 5 Inv#: 6572 Chisel Lot- (3) pneumatic peen chisels Quantity: 1 Lot - toolbox and contents Quantity: 1 9 Inv#: 6576 Chisel Lot- (2) pneumatic Dayton chisels Quantity: 1 10 Inv#: 6577 Tanks 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 12 Inv#: 6579 Clamps 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 18 Inv#: 6585 Misc 13 Inv#: 6580 Hydraulics 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 19 Inv#: 6586 Compressor 14 Inv#: 6581 Misc 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 20 Inv#: 6587 Compressor 15 Inv#: 6582 Misc 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 21 Inv#: 6588 Lights 16 Inv#: 6583 Misc 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: www.blackbirdauctions.com
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 PO Box 504 Anywhere, 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 INSURER C: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/( MM/ DD/ YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD 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 C X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 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 PRO- POLICY LOC AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 A C x ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 X PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE A $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER X $ A WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/201301/01/2013 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackbird Asset Services, LLC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 0000 Xxxx Xx #000 Williamsville, NY 14221 XXXXX 25 (2001/08) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE XXXXX CORPORATION 1988 Trottnow M achine Specialties 5/31/2017 EB LOT # 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
Appears in 1 contract
Samples: www.blackbirdauctions.com
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 PO Box 504 AnywhereXX Xxx 000 Xxxxxxxx, USA 56789 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 INSURER CXXXXXXX X: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/( MM/ DD/ YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) POLICY EFFECTIVE DATE (MM/DD/YY) LIMITS POLICY NUMBER TYPE OF INSURANCE ADD'L INSRD INSR LTR A GENERAL LIABILITY A C X COMMERCIAL GENERAL LIABILITY LIMITS EACH OCCURRENCE $ 1,000,000 $ 300,000 CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 10,000 PRODUCTS - COMP/OP AGG GENERAL AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person) DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L 1,000,000 01/01/13 01/01/12 123-12345 $ 2,000,000 X GEN' L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- JECT PRO- POLICY LOC x AUTOMOBILE LIABILITY A C 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) COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 PROPERTY DAMAGE (Per accident) 01/01/13 01/01/12 BAP-456 $ 1,000,000 GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 01/01/13 OTHER THAN AUTO ONLY: 01/01/12 UMB 123-12345 EA ACC AGG $ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE A X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER A OCCUR WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 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. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT 01/01/2013 01/01/2012 WC 123-12345a 01/01/2012 01/01/2013$ 100,000 $ 100,000 01/01/13 E.L. DISEASE - POLICY LIMIT $ 300,000 OTHER 01/01/12 4017950415 A Riggers Legal Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS $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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackbird Asset Services, LLC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 0000 Xxxx Xx #000 Xxxxxxxxxxxxx, XX 00000 XXXXX 25 (2001/08) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE XXXXX CORPORATION 1988 AMC Precision Inc 2/10/2015 LOT # 1 Inv#: 6936 Clamps
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 PO Box 504 Anywhere, 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 INSURER C: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/01/2012 COVERAGES 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. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 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. SAMPLE COVERAGES INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY A C 123-12345 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,000 ✔ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT PRO- POLICY LOC A AUTOMOBILE LIABILITY A C x ANY AUTO BAP-456 01/01/12 01/01/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ✔ x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 X PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE A $ 1,000,000 ✔ X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER X $ A WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC 123-12345a 01/01/2012 01/01/201301/01/2013 WC STATU - TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 300,000 A OTHER Riggers Legal Liability 4017950415 01/01/12 01/01/13 $1,000,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackbird Asset Services, LLC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 0000 Xxxx Xx #000 Williamsville, NY 14221 XXXXX 25 (2001/08) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE XXXXX CORPORATION 1988 LOT 500 | QTY 1 WACONIA stainless steel 6-ton rotary drum fertiliz LOT 512 | QTY 1 Scale dump xxxxxx 1000 LB.Cap. LOT 513 | QTY 1 Scale dump xxxxxx 1000 LB.Cap. LOT 501 | QTY 1 Misc. liquid fertilizers & products LOT 502 | QTY 1 Drive-on platform scale LOT 514 | QTY 1 LOT 524 | QTY 1 Contents of 2 offices desks file cabinets, printer LOT 525 | QTY 1 XXXXXXX XXXX XXXXXX SAFE B-1 #4, S/N 791743 Exact Weight scale portable bag LOT 503 | QTY 1 2014 FORD F550 dump truck power stroke diesel LOT 504 | QTY 1 2000 NAVISTAR International 20’ box feed truck LOT 505 | QTY 1 2005 International DT530 feed truck LOT 506 | QTY 1 TOYOTA Forklift Truck 3150” LP LOT 507 | QTY 1 Lion LiftAll 4000# rough terrain forklift, gasolin LOT 508 | QTY 1 Ford Tractor Diesel 340B w/ Front Loader LOT 509 | QTY 1 Blue-Point Air Compressor LOT 510 | QTY 1 PEERLESS FEED MIXER/MILL 10 hp. LOT 511 | QTY 1 XXXXXXX scale dump xxxxxx 1000 LB. scale LOT 515 | QTY 1 XXXX 54 bag scale LOT 516 | QTY 1 Portable platform bag scale LOT 517 | QTY 1 Portable platform bag scale LOT 518 | QTY 1 Grain Mixer 3 ph. Motor LOT 519 | QTY 1 Pallet rack 1 section 42” x 96” x 10’ H. w/ 2 wh LOT 520 | QTY 1 contents of room assorted types of fertilizer, etc LOT 521 | QTY 1 TOYOTA pallet jack & EV-N- spread seeder LOT 522 | QTY 1 Contents of retail items LOT 523 | QTY 1 Retail gondola shelving in store area
Appears in 1 contract
Samples: www.blackbirdauctions.com
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 PO Box 504 AnywhereXX Xxx 000 Xxxxxxxx, USA 56789 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 INSURER CXXXXXXX X: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/( MM/ DD/ YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD 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 C X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 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 PRO- POLICY LOC AUTOMOBILE LIABILITY BAP-456 01/01/12 01/01/13 $ 1,000,000 A C x ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 X PROPERTY DAMAGE (Per accident) $ 1,000,000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C A EXCESS/UMBRELLA LIABILITY UMB 123-12345 01/01/12 01/01/13 EACH OCCURRENCE A $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER X $ A WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC 123-12345a 01/01/2012 01/01/201301/01/2013 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackbird Asset Services, LLC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 0000 Xxxx Xx #000 Xxxxxxxxxxxxx, XX 00000 XXXXX 25 (2001/08) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE XXXXX CORPORATION 1988 AMC Precision Inc 2/10/2015 LOT # 1 Inv#: 6936 Clamps
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 PO Box 504 AnywhereXX Xxx 000 Xxxxxxxx, USA 56789 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 INSURER CXXXXXXX X: Anywhere, USA 56789 INSURER D: INSURER E: XXXXX XX ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/( MM/ DD/ YYYY) 01/01/2012 COVERAGES 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) POLICY EFFECTIVE DATE (MM/DD/YY) LIMITS POLICY NUMBER TYPE OF INSURANCE ADD'L INSRD INSR LTR A GENERAL LIABILITY A C X COMMERCIAL GENERAL LIABILITY LIMITS EACH OCCURRENCE $ 1,000,000 $ 300,000 CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 10,000 PRODUCTS - COMP/OP AGG GENERAL AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person) DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 GEN'L 1,000,000 01/01/13 01/01/12 123-12345 $ 2,000,000 X GEN' L AGGREGATE LIMIT APPLIES PER: 123-12345 01/01/12 01/01/13 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- JECT PRO- POLICY LOC x AUTOMOBILE LIABILITY A C 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) COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X N O N-OWNED AUTOS BODILY INJURY (Per accident) $ BAP-456 01/01/12 01/01/13 PROPERTY DAMAGE (Per accident) 01/01/13 01/01/12 BAP-456 $ 1,000,000 GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 01/01/13 OTHER THAN AUTO ONLY: 01/01/12 UMB 123-12345 EA ACC AGG $ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ C EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE A X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ 1,000,000 $ DEDUCTIBLE X RETENTION UMB 123-12345 01/01/12 01/01/13 $ $ 0.00 $ WC STATU - OTH- TORY LIMITS ER A OCCUR WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below X DEDUCTIBLE RETENTION A CLAIMS MADE $ 0.00 $ 1,000,000 AGGREGATE $ $ $ WC 123-12345a 01/01/2012 01/01/2013STATU - TORY LIMITS OTH- ER E.L. DISEASE - EA EMPLOYEE
Appears in 1 contract
Samples: Auction Bidder Agreement
