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HomeMy WebLinkAboutNational Trench SafetyACCI CERTIFICATE OF LIABILITY INSURANCE DATE (MMI2 "Y)_ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. Un CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI KM BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR 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 Marsh & McLennan Agency LLC Marsh & McLennan Ins, Agency LLC 1 Polaris Way #300 CONTACT Katie McCoyFAX PHONE AFC No: ADDR1ESS: occerts@marshmma.com Aliso Viejo CA 92656 INSURERS AFFORDING COVERAGE NAIL 0 INSURER A: Everest Premier Insurance Company 16045 i n #:OHi8131 INSURED TRENCPLATE2 National Trench Safety Inc. Houston 260 N Sam Houston Pkwy E Suite 200 INSURER B : Everest National Insurance Company 10120 INSURERC: Navi ators Insurance Company 42307 INSURER D : Houston, TX 77060 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:501803751 REVISION NLIMRER- 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 I TYPE OF INSURANCE ADDL'SUBR i WVD POLICY NUMBER POLICY EFF POLICY EXP (MMIODNYYYI IMMID111YYYY)LIMITS A X COMMERCIAL GENERAL LIABILITY � OCCUR X 5,000 Y N I RMlGLOOD43241 6/2312024 6/23/2025 EACHOCCURRENCE S1,000,000 NGE D DAMCLAIMS-MADE PREM PREMISES Ea occurrence S 1,ODD,000 MED EXP (Any y one person) 55,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY El E T LOC OTHER: GENERAL AGGREGATE $2,000.000 PRODUCTS - COMPIOP AGG S 2,000,000 S B B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED Ix NON -OWNED AUTOS ONLY AUTOS ONLY N N RMICA00063241 RMlCA00064241 6/23/2024 &23 6/23/2024 6/2312025 CoMBINEDSINGLELIMIT Ea accident g2,000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) 5 X PROPERTY DAMAGE Per accident s S C I UMBRELLA LIAR X I EXCESS LIAB X OCCUR CLAIMS -MADE N N CH24EXCZ024REIV 6/23/2024 6/2312025 EACH OCCURRENCE $5,000,000 AGGREGATE $S,ODD,000 DED X I RETENTIONS n $ a WORKERSN Np KERS COMPENSATION YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED9 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N N F A RMl WC00071241 RM 1 WC00073241 6/23/2024 6/2312025 6/23/2024 6/2312025 X PERTurE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,00D,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES LACORD 101, Additional Remarks Schedule, may be attached if more apace is required) CALDVVRL Ci IY Cl r;ih City of Caldwell is included as Additional Insured with respects to General Liability per attached endorsement. JUL s, .I 2024 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1179 AUTHORIZED REPRESENTATIVE Caldwell, ID 83606 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD