Loading...
HomeMy WebLinkAboutGreenWaste Recovery, LLC 07.01.2025r-7 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/1/2025 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 Commercial Insurance Associates, LLC 103 Powell Court, Ste 200 Brentwood TN 37027 CONTACT NAME: PHONE FAX A/c No Ext): 615-515-6000 A/C No): 615-515-6001 ADDRIESS: administrator@com-ins.com INSURER(S) AFFORDING COVERAGE _---. NAIC # Y INSURER A: Zurich American Ins. Co. 16535 EPK-155939 INSURED GREEREC-02 GreenWaste Recovery, LLC 610 E Gish Rd INSURER B: Crum & Forster Specialty Ins. 44520 INSURER C: SiriusPoint Specialty Insurance Corporation INSURER D: Westchester Surplus Lines Insurance Company 10172 San Jose CA 95112 INSURER E: Allied World Na'I Assurance Co 10690 INSURER F: Landmark American Ins Co 33138 _ COVERAGES CERTIFICATE NUMBER: 293931427 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TLICY R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EFF MM/DPOLID/YYYY MY EXP MI D/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y EPK-155939 7/1/2025 7/1/2026 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY F--] PRO- ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY Y BAP 4983505 05 7/1/2025 7/1/2026 COMBINED SINGLE LIMIT $ 2,000,000 Ea accident BODILY INJURY (Per person) $ X ANY AUTO - OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY D E F UMBRELLA LIAB X EXCESS LIAB X OCCUR CLAIMS -MADE G47476203 002 EFX-132773 0314-3358 LHA607706 7/1/2025 7/1/2025 7/1/2025 7/1/2025 7/1/2026 7/1/2026 7/1/2026 7/1/2026 EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ Total Excess Limit $ 20,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YN ANYPROPRIETOR/PARTNER/EX ECUTIVE N OFFICER/MEMBER EXCLUDED. N / A WC 4994062 05 7/1/2025 7/1/2026 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Pollution PLLP-D0001811 00 7/1/2024 7/1/2027 Each Incident 2510001000 Aggregate 25,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Excess Limits - EFX132773 - $5,000,000 Each Occurrence/$5,000,000 Aggregate; G47476203 002 $5,000,000 Each Occurrence/$5,000,000 Aggregate; 0314-3358 $10,000,000 Each Occurrence/$10,000,000 Aggregate; Auto Excess Liability EXT30063672301 $1,000,000 Each Occurrence/$1,000,000 Aggregate; Auto Excess Liability LHA607706 $2,000,000 Each Occurrence/$2,000,000 Aggregate Total Excess Liability Limits $20,000,000 Total Auto Excess Liability Limits $5,000,000. Pollution Limits- PLLP-D0001811 00- Each incident/$25,000,000 Aggregate/$25,000,000 Carrier: SiriusPoint Specialty Insurance Corporation Per Project Aggregate $5,000,000 per endorsement - EN01790523 RE: Wastehauler'Operations Town, its officers, insureds, employees, agents and Franchisees are additional insureds as respects to general liability and automobile liability when required by a written contract with the named insured. CERTIFICATE HOLDER CANCELLATION City of Los Altos Attn: City Manager 26379 Fremont Road Los Altos Hills CA 94022 United States 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD