HomeMy WebLinkAbout557710 TRC ENVIRONMENTAL CORPORATION - INSURANCE CERTIFICATE (3)Clipri 2531110
TRCCOMPA
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDDNYYY)
3/22/2020
THIS CERTIFICATE IS: ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOTAFFIRMATNELY 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: Ifthe certificate holder is an ADDITIONAL INSURED, the-policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
'if
SUBROGATION NE BROGATION IS WAD, subject to the terms and conditions of the policy, certain policies -may require an endorsement. A'statement on
this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Greyling Ins. Brokers e/EPIC
g.
3780 Mansell Road, Suite 370
Alpharetta, GA 30022
NAMTACT
E: Jerry Noyola
E x
PNONac Na Ext , 770 552225 FAac Net): 866550 4082
E-MAIL no ola re hn tors
ADDRESS: jer rY• Y @9 Y g•
INSURER(S) AFFORDING COVERAGE.
NAIC III
INSURER A: National Union Fire Ins. Co. _
19445
INSURED
B : XL Specialty Insurance Co.
37885
TRC Environmental CorporationINSURER
TRC.INSURER
Companies, Inc.; 21 Griffin Roadh
N
North
Windsor, CT 06095
Windsor,
C : Lexk*on Insurance, Company
19437
INSURER D New Hampshire Ins. Co.
23841
.: AIU Insurance Company
Em
19399
Company Steadfast Insurance C
INSURERF: PY _ __.___ _. _._.
26387
COVERAGES CERTIFICATE NLIMRER- 20-21 REVISION NNMRFR-
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR. LIMBS MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF' SUCH POLICIES. SHOWN MAY HAVE E_ BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
INSRsWVD
POLICY NUMBER
MMDDDYEFF
POLICY EX
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CWMS-MADE OCCUR
Contractual Liab.
5341929
4/01/2020
04/01/2021
$1000OOO
EEAACCHHOECCCUR�RENCE.
.PREMISES Ea occurrence
$500 000
X
MED EXP (Any one person)
$25 000
PERSONAL& ADV INJURY
$1,000 006
GEN'L AGGREGATE LIMIT APPLIES PER:
'POLICY 51 JECOT LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS-COMP/OP AGO
$2,000,000
$
A
A
AUTOMOBILE
X
it
LIABILITY
ANY AUTO
OWNEDONLY AUTOS SCHEDULED
AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
4773667 (AOS)
4773668(MA) _
4101/2020
4/01/2020
04/01/202f
04/01/26 1,BODILYINJURY(Perperson)
COMBINED SINGLE LIMIT
(Ea accident)
2,000,000
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
B
C
XUMBRELLA
X1
UAB
EXCESStAB
occu
CLAIMS -MADE
US00075712LI20A
080677671
4/01/2020
401/2.620
04/01/2021
04/01/2621
EACH OCCURRENCE
$9 000 000
AGGREGATE
$9 000 000
DED I X RETENTION$10600
$
p
E
WORKERS COMPENSATION
AND EMPLOYERS'LIABILI Y YIN
OFFICEWRIETOREXCLUDRIMCUTIVE�NIA
(Mandatory In NH)
If DE CRION OF OPERATIONS below
02229t1274 AOS
(, )
022298275(CA)
-4/01/2020
4/01/202004101/2021E.L.
04/01/2021
X sPEARTuTr _ OTH-
EACH ACCIDENT
$1000000MEMBE. _
E.L. DISEASE- EA EMPLOYEE
$1 000 000
E.L. DISEASE - POLICY LIMIT
$1 OOO 000
F
Prof. Lab. Incl.
Poll. Liab.
PECO19684304
401/2020
04(OI 2021
Per Claim $5,000,000
Aggregate $5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
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 promium) will be provided to the Certificate Holder.
City of Fort Collins
300 LaPorte Avenue
P.O. Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL B_E DELIV_ERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD 25,(2016/03) 1 of 1
#S2066700/M2063667
0.1988-2015 ACORD CORPORATION. All rights reserved:
TheACORD name and logo are registered marks of ACORD
JNOY1