CTR073851_CoI_HERC_Rentals_Inc_Rev_1.pdf

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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.

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CTR073851_Pricing.xlsx XLSX spreadsheet
CTR073851_Contract_Documents.pdf PDF
CTR073851 Post Award Sign-In Sheet.pdf PDF
CTR073851_Contract_Amendment_Summary_One__1_.pdf PDF

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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):

E-MAIL

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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