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HomeMy WebLinkAboutTRC ENVIRONMENTAL CORPORATION, TRC COMPANIES, INC. - INSURANCE CERTIFICATE (61)SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
3/25/2024
Edgewood Partners Ins.Center/Greyling
3780 Mansell Rd.Suite 370
Alpharetta GA 30022
Jerry Noyola
7702207699
greylingcerts@greyling.com
National Union Fire Ins Co of Pittsburg 19445
TRCCOMP New Hampshire Insurance Company 23841TRCEnvironmentalCorporation,TRC Companies,Inc.
4747 North 7th Street,Suite 422
Phoenix,AZ 85014-0000
AIU Insurance Company 19399
Steadfast Insurance Company 26387
Allied World Assurance Co (U.S.)Inc.19489
Gotham Insurance Company 25569
333140084
A X 2,000,000
X 500,000
X Contractual Liab 25,000
2,000,000
4,000,000
X X
GL5341999 4/1/2024 4/1/2025
4,000,000
A
A 5,000,000
X
X X
CA4773667 (AOS)
CA4773668 (MA)
4/1/2024
4/1/2024
4/1/2025
4/1/2025
E
F X X 5,000,000
X
03127873
EX202400003211
4/1/2024
4/1/2024
4/1/2025
4/1/2025 5,000,000
X 10,000 Each Occur./Aggregate $4M/$4M
B
C X
N
WC022298274 (AOS)
WC022298275 (CA)
4/1/2024
4/1/2024
4/1/2025
4/1/2025 2,000,000
2,000,000
2,000,000
D Professional Liability incl.
Pollution Liability PEC019684308 4/1/2024 4/1/2025 Per Claim
Aggregate
$1,000,000
$1,000,000
Re:Professional Services Agreement.The City,its officers,agents &employees are named as Additional Insureds with respects to General &Automobile
Liability where required by written contract.Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof,30
days'written notice (except 10 days for nonpayment of premium)will be provided to the Certificate Holder.
City of Fort Collins;Purchasing Division
P.O.Box 580
Fort Collins CO 80522-0000