HomeMy WebLinkAboutOvivo USA LLCA`� o® CERTIFICATE OF LIABILITY INSURANCE
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04+1T12024
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(les) 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 endorsements .
PRODUCER
Marsh USA
Sheridan Meadows Corporate Park North
6500 Sheridan Drive, Suite 114
Williamsville, NY 14221
CONTACT
NAME:
PHONE FAX
/UC No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC p
INSURERA: Granb SWtp.Insurpni;qCompany
23809
CN000000—GAW-24-25
INSURED Ovivo USA, LLC
INSURER B : The Travelers Indemnh Co Of Connecticut
25682
INSURER C : The Charter Oak Fore Insuranell Company
25615
4246 Riverboat Road
Suite 300
Salt Lake City, UT 84123
INSURER D
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: Hnil.MhdIn9AFt.n7 RFVISInM NIIMRFR- a
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.
I�TR
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
MMI pY EFF
M[MfDPOLICY
R EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
X
02-LX-067988403-9
03/31/2024
0313112025
EACH OCCURRENCE
S 1,000,000
DAMAGE TO RENTff__
CLAIMS -MADE X❑ OCCUR
PREMISES En occurrence
$ 100,000
ME D EXP (Any one person)
$ 5,000
_
PERSONAL&ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY ❑ PRO C
JECT LOC
GENERAL AGGREGATE
$ 2,000.000
PRODUCTS - COMPIOP AGG
$ See Page 2
$
OTHER:
C
AUTOMOBILE
LIABILITY
X
BA-5W09512A-24-43-G
03/31/2024
03/31/2025
COEa eBINED SINGLE LIMIT
$ 1000 000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X
BODILY INJURY (Per accident)
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
X
PROPERTY DAMAGE
Per accdenl
S
ComplColl Ded
f 1000
UMBRELLALIAB
Ll
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LiAB
CLAIMS -MADE
OED I I RETENTIONS
$
B
WORKERS COMPENSATION
ANDEMPLOYERS'LMILITY YIN
ANYPROPRIETOR/PARTNERIEXECUTIVE
OFFICERlMEMBEREXCLUDED? N
NIA
U1341W986335-24-43-13
03131/2024
03/3112025
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ 1000,000
E.L. DISEASE - EA EMPLOYEE
$ 1.000,000
(Mandatory In NH)
If es, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1.000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD lot, Additional Remarks Schedule, may be attached If more apace Is required)
RE: City of Caldwell PO #723326; Project: Caldwell STP; Ovivo USA, LLC Order #SSW0014783
City of Caldwell islare added as additional insured under General Liability and Auto Liability policy identified herein where required by written contract executed prior to loss, but soley with respect to 4abl ity arising
out of the operations of the Named Insured. -+ r' R
zubl
City of Caldwell
PO Box 1179
Caldwell, ID 83606
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
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD