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Home My WebLink AboutGreenwaste Recovery LLC 06.30.2023ACORL�g CERTIFICATE OF LIABILITY INSURANCE 7/1/2024 F DATE(MM/DD/YYYY) 1 06/30/2023 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(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 LOCKTON COMPANIES CONTACT NAME 3657 BRIARPARK DRIVE, SUITE 700 HOUSTON TX 77042 PHONE FAX C o: E-MAIL 866-260-3538 INSURERS AFFORDING COVERAGE NAIC # EACH OCCURRENCE $ $1,000,000 INSURERA: Lexington Insurance Company 19437 MED EXP (Any oneperson) $ XXXXXXX INSURED Greenwaste Recovery, LLC INSURERB: Zurich American Insurance 16535 INSURER C: --- SEE ATTACHMENT -•-- 1503922 610 E Gish Rd, APN 237-6-57 San Jose CA 95112 INSURER D: American Zurich Insurance Company 40142 INSURER E: Sirius Specialty Insurance Corporation 16820 AUTOMOBILE I INSURER F: Y COVFRAGFR CFRTIFICATF NIIMRFRt 1 RF4g3.Fq REVISION NUMBER' XXXXXXX 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 SU H POLICIES. LIMITS SH WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBPOLICY WVD POLICY NUMBER EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F__1 Y 1 N 11170755 1 07/01/202 07/01/2024 EACH OCCURRENCE $ $1,000,000 DAMA ET RECTED $ $100,000 PREMISES( a MED EXP (Any oneperson) $ XXXXXXX PERSONAL & ADV INJURY $ $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO-- ❑LOC POLICY❑ JET OTHER GENERAL AGGREGATE $ $2,000,000 PRODUCTS - COMP/OPAGG $ $2,000,000 $ B AUTOMOBILE I LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y N BAP498350503 07/01/202 07/01/202 E° acccideDisINGLE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE $XXXXXXX Per accident $XXXXXXX C X X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N See Attached 07/01/202 07/01/2024 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 DED I I RETENTION $ $ XXXXXXX D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatr>n/in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A N WC499406203 07/01/202 07/01/202 XPER - E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 E Pollution Legal Liability N N PLLP-S0001116-1 08/05/2021 07/01/2024 Clean Up Costs $10,000,000 3rd Party BI/PD $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION bee AttacnmentS U 99SS-ZU9b At;UKLI UUKVUKA I IUN. All rights reserves ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. n E LVED 18649359 1 \ 0..0 I AUTHORIZED REPRESENTATIVE City of Los Altos Attn: City Manager JUL 2 5 2023 26379 Fremont Road Los Altos Hills CA 94022 TOWN OF I QV ,ALTOS HILLS U 99SS-ZU9b At;UKLI UUKVUKA I IUN. All rights reserves ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD