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HomeMy WebLinkAboutInsurance Certificate: Rogue Waste Disposal Holdings Inc A ®. aCERTIFICATE OE LIABILITY INSURANCE` °ATE(MMIODNYYY) 7122!2023' . THIS'CERTIFICATE,IS ISSUED'AS A MATTER:OF'INFORMATIONI 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•O.R PRODUCER,.AND THE'CERTIFICATE:HOLDER.., ' ,'. •' , ,. • y ovisions.,or.be endorsed. IMPORTANT:, lithe certificateholder'Is an ADDITIONAL.INSURED;the:polic (ies)must have ADDITIONAL INSURED'pr • If SUBROGATION IS`WAIVED.,subject to the'terms and'conditions of the policy,,certaln;policies•,may require an endorsement. :A'statement on •..,this.certificate,does.not.:confer,rights,to;;the certificate holder In:;lieu:of,stichendorsement(s)... :. PRODUCER , CONTACT ; NAME:., •Certificate Unit. Edgewood'Partners Insurance Center' , PHONE' FAX . 4675 MacArthur'Court WC No. (949)-474-1550 ... ,.. '(A1C,No). S.uite'750 . . . ADDREss: WCNCerts@epicbrokers.00m' Newport Beach CA 92660' 1NSURER(S)'AFFORDING COVERAGE. NAIC'# - INSURER,A:AC.EAmericari Insurance'.Company 22667 INSURED INSURER B.:• •- RogUe Waste Disposal Holdings, Inc. 3.Waterway,Square Place;.Suite'140 . • INSURERC The.Woodlands,TX 77380 INSURER . . .INSURER'.E': .. . . . ;.INSURER:F.: .: COVERAGES CERTIFICATE,NUMBER:1359689325' . ' ., REVISION NUMBER; ,• .THIS IS TO CERTIFY THAT THE;'POLICIES•OF INSURANCE,L.ISTED 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.:WHICHt THIS ' CERTIFICATE MAY BE:ISSUED.OR MAY,PERTAIN,THE;INSURANCE AF,FORDED BY THE':POLICIES,DESCRIBED'HEREIN"IS.SUBJECT TO,ALL THE TERMS; ' ' EXCLUSIONS AND CONDITIONS OF`SUCH,ROLICIES;LIMITS SHOWN MAY HAVEBEEN'REDUCEO BY:PAID CLAIMS. T, 'NSR ADDL NBD WYD; . POLICY NUMBER (MM!DNYYYI (MMDDIYYYY)' LIMIT LTR TYPEOFdNSURANCEP 3. • A X: COMMERCIAL GENERAL LIABILITY. '.f ', HDO'G47346386 8/1/2023. 8/1/2024 .EACH.00CURRENCE' $2;000400; CLAIMS-MADE X OCCUR , • . DAMAGE TO RENTED. . PREMISES(Ea oedertenco): $100 000: MED EXP(Anyone period) $. ' PERSONAL,&ADV,INJURY $2;000;000 ' ' GEN'_AGQREGATE'LIMITAPPLIES'PER; .GENERAL AGGREGATE ' $5,00,0,000 X POLICY PRO- LOC PRODUCTS''-COMP/OP'AGG: $2;000,000' ]ECT • OTHER: S- ' A.. AUTOMOBILEUABILITY 'Y ', ,ISA H1;0757332 ' ' $11/2-02.3.. /1/2023 81'112024 (EO aBICNdEi. Di�INGLE.LIMIT $5,000;000 ' X .ANYAUTO BODILY;INJURY(Per person) $ , 01NNED SCHEDULED BODILY INJURY(Per accident) $; AUT,O5.ONLY _ AUTOS` HIRED: NON•OWNED. PROPERTY DAMAGE $ 'AUTOS.ONLY AUTOS ONLY . (Per accident! S. UMBRELLA LIAB • : OCCUR : EACH OCCURRENCE $ ' EXCESS LIAB CLAIMS-MADE . • AGGREGATE ;S'' DED I 'RETENTION$' '• S' ' A .WORKER5COMFENSATION' • ; WLRC50723:089 AOS)': 8/1/2023 811/2024 X AND EMPLOYERS'LIABILITY' STATUTE ERH • ANYPROPRIETCH/PARTNER/EXECUTIVE YrN' E.L.EACH'ACCIDENT $,1;500,000, • • OFFICER/MBMBEREXCLUDED? • N N%A' (Mendatory'InNH)' • , ' , . EL.DISEASE-EA°EMPLOYEE $1,500;000' . ' 11:yeei,desclibe under . . . DESCRIPTION OF OPER'ATIONS'below. E.L.DISEASE-POLICY LIMIT $1,500,000' • • DESCRIP710NOF OPERATION$TLOCATIONS,'/VEHICLES(ACORD 101,Additional Remerka Schedule,mey be•attached it mare'space is requlreil) :City of.Ashland..its•officers,agents and elnpioyees;to,the.extentrequired•by Written contract,are additional'insuredwitti:respect'to;General'.Liability.and Auto ,Liability; • ' .CERTIFICATE HOLDER CANCELLATION. ' . - SHOULD ANY OF THRABOVE.DESCRIBED POLICIES BE CANCELLED BEFORE' ' ' ' • THE EXPIRATION DATE THEREOF,. NOTICE WILL. BE: DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. ' . ' City of Ashland 20 E. Main St., AUTNORIZEDREPRESENTATIVE Ashland OR 97520.. • ,©1988=2015 ACORD CORPORATION. 'All rights:reserved: • ACORD 25(2016/03) The_ACORD name and logo are registered tnarks.of ACO:RD: 6075: 2 ` of Edgewood Partners Ins Center 1 California Street Suite'400 San•Francisco,CA 94111 • • 6075 1 MB 0.558 6075 111111111111111111111111111111111 " 1111111111111.111111111111111111 CITY OF ASHLAND 51 WINBURN WAY ASHLAND,OR 97520-2735 • • • • f 6075: 1 of 2