HomeMy WebLinkAbout47255 TXR000081205 000 02-19-2020 CORR AOO CERTIFICATE OF INSURANCE P.9. I of 2
ACCA d CERTIFICATE OF LIABILITY INSURANCE '10/22/20 9'
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(3), 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 certificates holder in lieu of such endosement s.
PRCOUCER NNME:
Willie of NseiChuNLG, Ioo,
c/o 26 Cantu,, BNd Mr. 1-877-943-7378 PAX . 1-BeB-86T-23T8
EA ertlflesGs8W1131s.0om
P.O. Boz 305191 ANL
xu11vi13Y, N 312305191 USU. INSURE 8 AFFORCIXOCOVEMOE Xalca
IXSURERA: '3Ca Am "'0 Ivusanu CPUPenY 22667
Ix INSURER B: 'YOB PzW"Z7 a Casualty Ineu[enw Ck� 20699
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-eYEilieba INSURIRC: In Y Insusanu CPSOsnY of NesN Ar[1 69576
M' Gz Oziw INSURER D:
wall, MA OROf1 Vsn
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:M3435832 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 NMICH 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 CIAIM&
WLTR NW POOL SUM TYPEOFINSUNUJCE Pg YXUMBEfl MMI�D� M YEXP LJMRb
X COMMERCMLOENEMLLMBILIW FACHOCCURRENCE f 2,000,000
CUIMSLMDEOCCUR PREMISES Ea ovvmrm f 500,000
A X NCO MEDEXP —RWWr f 5,000
X an
RTNCG71453364 11/01/2019 21/01/2020 P RBCNFLa PDVINJURY t 2,000,000
GEHL AGGREGATE LIMIT APRJES PER GENERA-0UGGR TE f 41000,000
PCIICYa IR_T LOC PROGJCTS-COMPSOPAW t 4,000,000
OT ER: f
AUroMOBILEIJFBILm BAN t 5,000,000
X ANY AUTO BODILY INJURY IPW Peaty f
A X ONNSDONLY SACWLEO IBAN25291<T5 11/01/201912/01/2020 BODILY INJURY IPWaa.MMl IS
HIRED NOR
-0YMED RAGGRE� E
f
X AYTQOR ONLY X AUTOS ONLY
X f
B X UMBREI UAW X OCCUR URRENCE f 30,000,000
EXCESS WB CLMMS#IAl1E G<68258W 003 11/01/2019 11/01/2020E f 10,000,000
DED X RETENTION3 0 f
WCAWEW COMPWBATOx E RANDEMPLOWRSWBRITYCpNYPRWRIOPRARTHERIFXECUTIVE YY� NIA ACLIOEM S2,000,000
IWnCMUU HHICLUDEm xLRC65B9]9]9 (AO81 11/O1/2019 11/O1/20202,000,000SE-EAEMPIOY t
Ii yF�AmlAmeer2,000,000
CESC0.IFTION OOPERATIONS ENo.Y SE-FOL LIMIT tA MOrkais CupanesLion ILA C65093976 (G, NP) 11/01/2019 11/fll/2020s ACCIOix2 $2,000,000
6 hplaysze Liability E.L. ¢S �_j- 2,000,000
Par statute E.L1 E-EOL oO,000
OESCM"GNOFOPEMMONaILOCATMSIWMMMS NcoRD 1a1,AAltlonl Wmerlu eelwaux.mav Sa meaMxxmonawa•Ie n9wn11^.
Bnviro Waste Oil INI LLC is now s Part Of BafatY-Risen SYKws, Ina. YJ/ 1 /W1a'/wl., j
866 ATTACHED (� F•E�EO`Fa�s.__-"`e U
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CERTIFICATE HOLDER CANCELLATION W ? l
SHOULD ANY OF THE ABOVE DESCRIBEOPOLIGIES BE CANCELLED BEFORE
THE EXPIRATION OATS THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AV MDREEDDD R�EPMSEXTATNE
y/N a[
BvlMnca of insu[enca V ��_
01988-2016 ACORD CORPORATION. All rights re md.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
ax m: 18709410 uxx: 1422032
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AGENCY CUSTOMER ID:
LOC a:
A�Oe ADDITIONAL REMARKS SCHEDULE Page 2 Of 2
AGENCY NAMED INSURED
6ya InO.
Willi. Of Massachusetts, Eleen tametfs, Inc. _ and its affiliates
PWCY NUMBER 42 Lonprater Drive
a. Page 1 mall, . 02061 UM
CARRIER MOODS
Sea Pa9m 1 8N EPEE 1 EBrac"OATS:BM Paee 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Ineuranms
RE: 279 Route 6 MahopmC MY 10541
Evidence of insurance only
INSURER AFFORDING COVERAGE: ACE American Ineurmae Company NAICM: 22667
POLICY NUMBER: COO G27416603 005 EYE DATE: 11/01/2019 EXP DATE: 11/01/2020
TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:
Professional Liability Each Claim $10,000,000
All Claims $10,000,000
SIR $250,000
INSURER AFFORDING COVERAGE: ACE Aewtican Insurance COCpany NAICY: 22667
POLICY NUMBER: COO G27416603 005 EYE DATE: 11/01/2029 =I DATE: 11/01/2020
TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:
Contractor's Pollution Liability Each Claim $10,000,000
All Claims $10,000,000
SIR 0250,000
ACORD 101 (2008101) ®2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SR In: 18709410 BATCH: 1422032 CERT: M3435832