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HomeMy WebLinkAboutInsurance Certificate: Synagro Technologies, Inc. • ^....., ® DATE(MM/DD/YYYY) ACORQ08/10/2023 • � CERTIFICATE• OF LIABILITY INSURANCE � , , 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(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 •°,,—°,, certiticate,does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT dp • AOn Risk Services Northeast, Inc. NAME: PHONE New York NY Office (AIC.No.Ext): (866);283-7122 FAX (800) 363-0105 (A/C.No.): Ts one Liberty Plaza E-MAILDSS: 165 Broadway, Suite 3201 _ New York NY 10006 USA INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A: American Guarantee & Liability Ins Co 26247 Synagro Technologies, Inc. - "' • ' INSURERB: steadfast Insurance Company • 26387 435 Williams court #100 Baltimore MD 21220 USA , INSURER C: INSURER b: INSURER E: ' INSURER F: . COVERAGES ' . CERTIFICATE NUMBER:570101108096 - . 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.' ' Limits shown are as requested INSR - ADDL SUER -POLICY EFF - POLICY EXP'. ITR TYPE OF INSURANCE INSD WVD" POLICY NUMBER ((MM 10/YYYY) (KADID/YYY.Y2 LIMITS _ B X COMMERCIAL GENERAL LIABILITY GPL013465309' 08/01/2023 08/01/2024 EACH OCCURRENCE $2,000,000 � CLAIMS-MADE �X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $300,000 MED EXP(Any one person) $10,006 PERSONAL&ADV INJURY $2,000,000 m GEN'LAGGREGATE LIMIT APPLIESPER: GENERALAGGREGATE $6,000,000 0 RPOLICY LiJEOT ❑X LOC PRODUCTS-COMP/OPAGG $4,000,000 0 OTHER: n A AUTOMOBILE LIABILITY ' BAP 9243960 11 08/01/2023,08/01/2024 COMBINED SINGLE LIMIT. i (Ea accidentf $5,000 000 X ANY AUTO BODILY INJURY{Per person) ' ' C' Z OWNED SCHEDULED BODILY INJURY(Per accideht) .. AUTOS ONLY, _ AUTOS VI HIRED AUTOS NON-OWNED PROPERTY DAMAGE v. —ONLY _AUTOS ONLY (Per accident) t d UMBRELLA LIAB OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE . DED RETENTION e A WORKERS COMPENSATION AND WC924396112' 08/01/2023 08/01/2024 XPER STATUTE. 0TTH- EMPLOYERS'LIABILITY . ' ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N AOS E.L.EACH ACCIDENT $1,000,000 A AFFICERIMEMBEREXCLUDED? " C N/A WC924396212" 08/01/2023 08/01/2024 (Mandatory In NH) - MA,WI E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT . -$1,000,000—". E 2 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional.Remarks Schedule,may be attached it more space is required) `x' Affiliated Entity: Synagro west, LLC. . policy RE: Delivery of Centrifuge':Equipment, Installation', Training and Rental. • The City of Ashland, Oregon, its officers,;agents and employees are included as Additional Insured in 'accordance with the policy provisions of the General Liability and Automobile Liability policies. General'.Liability and Automobile Liability evidenced herein are Primary to other insurance available to an Additional Insured, but, only in accordance with the policy's provisions. SO Ills— CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE n., o EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED•IN ACCORDANCE WITH THE. , o POLICY PROVISIONS: - ��...�1 g ii city of Ashland AUTHORIZED REPRESENTATIVE' �= co 20 East. Main Street• . _ - 'ate: q Ashland OR 97520 USA ahro ©1988-2015 ACORD'CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ' MSC#17755 Aon Risk Services. PO Box 1447 Lincolnshire,IL 60069 MDG2023 00000350 01 I1In111111111111uI1J'Ii1I1111111Iilltl'1h1111IIIIII"IIIIuIIiII ;11 City of Ashland 20 East Main Street Ashland OR 97520 • a v CV 0 00 . .. ... 0 8 0 Certificate No: 570101108096 oN City of Ashland 20 East Main Street Ashland OR 97520 USA Thursday, August 10, 2023 To whom itmay concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of.Insurance electronically,in PDF format. Please utilize one of the following methods to ensure you will receive the electroniccopy of your Certificate (Certificate No: 570101108096) for future renewals: - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 I Aon P.O. Box 1447 Lincolnshire, IL 60069 ■ rem •=• . ;v • . • ■ ■ • 0.1 • • 4*E • • DI■ i ■ O III . : �I ■ ■ o r�• m 0 0 0 0