CTR073851_CoI_HERC_Rentals_Inc_Rev_1.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR073851
- Contract number
- CTR073851
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for HERC Rentals Inc., issued by Aon Risk Services South, Inc., with primary insurers National Union Fire Insurance Company of Pittsburgh and AIU Insurance Company. The certificate is specifically for a contract with the State of Arizona/ADOT (Arizona Department of Transportation), with Contract No. CTR073851 and Solicitation No. BPM005905, effective September 19, 2024. The insurance covers commercial general liability, automobile liability, and workers' compensation with various policy endorsements providing additional insured status and waiver of subrogation rights.
The contract appears to be for equipment rental services, with insurance coverage limits including $3,000,000 for general aggregate, $5,000,000 combined single limit for automobile liability, and $1,000,000 for workers' compensation. The policy includes provisions for the State of Arizona/ADOT to be named as an additional insured, with the general liability policy being primary and non-contributory. The insurance policies are effective from 06/30/2024 to 06/30/2025, with endorsements that expand coverage to include completed operations and protect against potential recovery claims. Additional documentation includes a list of HERC Holdings Inc. subsidiaries, indicating the corporate structure supporting this contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR073851_Pricing.xlsx | XLSX spreadsheet | |
| CTR073851_Contract_Documents.pdf | ||
| CTR073851 Post Award Sign-In Sheet.pdf | ||
| CTR073851_Contract_Amendment_Summary_One__1_.pdf |
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Text version
H o ld e r Id e n ti fi e r
77777
77707 07070
00777 61616
04557 11107
74737 02632
65552 07662
20575 25073
00070 67377
52653 22210
75073 77572
57676 20765
50463 42222
57507 26134
66414 65510
07571 50727
75200 10072
65114 46036
41120 76727
24203 57720
00777 77770
70007 07007
77777
77707 07070
00735 25677
11545 60007
77141 40247
71121 07665
51446 06305
74071 33277
30743 31510
71332 26342
17310 10703
33263 52062
11107 02232
63421 73100
07123 23725
31731 00071
22227 35316
30100 77756
16335 17655
40777 77770
70007 07007
C e rt if ic a te N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
09/20/2024
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).
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.
PRODUCER
Aon Risk Services South, Inc.
Charlotte NC Office
MSC# 17693
PO Box 551343 Atlanta GA 30355 USA
PHONE
(A/C. No. Ext):
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 19445National Union Fire Ins Co of PittsburghINSURER A:
19399AIU Insurance CompanyINSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX
(A/C. No.): (800) 363-0105
CONTACT
NAME:
HERC Rentals Inc.
27500 Riverview Center Blvd Bonita Springs FL 34134 USA
COVERAGES CERTIFICATE NUMBER: 570108232167 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, Limits shown are as requested
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE LIMIT APPLIES PER:
$3,000,000
$500,000
$5,000
$3,000,000
$6,000,000
$6,000,000
A 06/30/2024 06/30/20256882290
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$5,000,000A 06/30/2024 06/30/2025
AOS
976-75-02B 06/30/2024 06/30/2025
MA
976-75-03A 06/30/2024 06/30/2025
VA
COMBINED SINGLE LIMIT
(Ea accident)
976-75-01
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X OTH-
ER
PER STATUTEB 06/30/2024 06/30/2025
AOS
014111677B 06/30/2024 06/30/2025
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER /
EXECUTIVE OFFICER/MEMBER N / AN
WI
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
$1,000,000
014111676
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Contract No. CTR073851, Solicitation No. BPM005905, Contract is Effective Date: September 19, 2024. The State of Arizona/ADOT is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and Workers' Compensation policies.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEThe State of Arizona/ADOT 206 S. 17th Ave.
Phoenix AZ 85007 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE
LOC #:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSUREDAGENCY
See Certificate Numbe
See Certificate Numbe
570108232167
570108232167
Aon Risk Services South, Inc.
570000070531
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.
INSURER
INSURER
INSURER
INSURER
INSURER(S) AFFORDING COVERAGE
Page _ of _
NAIC #
HERC Rentals Inc.
TYPE OF INSURANCE
POLICY NUMBER LIMITS
WORKERS COMPENSATION
B 014111678 06/30/2024 06/30/2025
A 3332326 06/30/2024 06/30/2025
CA
EX Workers Comp (NC, OK)
N/A
N/A
ADDL
INSD
INSR
LTR
SUBR
WVD
POLICY
EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY
EXPIRATION DATE
(MM/DD/YYYY)
SIR applies per policy terms & conditions
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations
COMMERCIAL GENERAL LIABILITY
CG 20 37 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard".
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of insurance;
whichever is less.
This endorsement shall not increase the applicable limits of insurance.
CG 20 37 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1
POLICY NUMBER:
POLICY NUMBER:
Insurance Services Office, Inc., 2018 Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
COMMERCIAL GENERAL LIABILITY
CG 24 04 12 19
This endorsement modifies insurance provided under the following:
SCHEDULE
Name Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CG 24 04 12 19
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of Section IV – Conditions:
We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above.
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
Issued to
By
WC 00 03 13
(Ed. 04/84) Authorized Representative
Schedule
This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohio, Tennessee, Texas, Utah, or Washington. This form is not applicable in Missouri when there is a construction code on the policy and there is Missouri premium or exposure.
Countersigned by
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below.
(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy).
This endorsement, effective 12:01 AM forms a part of Policy No. WC
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.
Exhibit 21.1
SUBSIDIARIES OF HERC HOLDINGS INC.
As of December 31, 2023
JURISDICTION OF
INCORPORATION
Black and Gold Insurance Ltd. Bermuda Cinelease, LLC Delaware Herc Build, LLC Delaware Herc FSC LLC Delaware Herc Intermediate Holdings, LLC Delaware Herc Investors, LLC Delaware Herc Management Holdings LLC Delaware Herc Management Services LLC Delaware Herc Purchasing LLC Delaware Herc Sales Force A LLC Delaware Herc Sales Force B LLC Delaware Herc Sales Holdings LLC Delaware Herc Receivables U.S. LLC Delaware Herc Rentals Inc. Delaware Herc Entertainment Services LLC Delaware Herc Rentals Holdings, LLC Delaware Herc Rentals 1, LLC Delaware Herc Rentals 2, LLC Delaware Herc Rentals Employee Services LLC Delaware Herc Equipment Rental Company Holdings Netherlands B.V. Netherlands Herc Rentals Trucking (Alberta) Limited Alberta, Canada Lan Commerce Center LLC Delaware Lan Ranch LLC Delaware Lan Witherspoon LLC Delaware Matthews Equipment Limited Ontario, Canada
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