HomeMy WebLinkAboutInsurance Certificate: Groundwater SolutionsA Q® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
12/2/2019
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
Dealey, Renton & Associates
P. O. Box 12675
Oakland, CA 94604-2675
CONTACT
NAME:
PHONE 510 465-3090 FAX No : 510 452-2193
E-MAIL
ADDRESS: Certificates@Dealeyrenton.com
INSURERS AFFORDING COVERAGE
NAIC #
License #0020739
INSURER A: Hartford Accident and Indemnity Company
22357
INSURED GROUSOL-03
Groundwater Solutions, Inc.
INSURER B: Crum & Forster Specialty Insurance Company
44520
INsuRERc:
dba GSI Water Solutions, Inc.
55 SW Yamhill Street, Suite 300
INSURER D :
INSURER E :
Portland, OR 97204
INSURER F :
rnvF=eecr-c
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