WP0040979 - Laserfiche WebLink

Home Browse Search

r .4co d CERTIFICATE OF LIABILITY INSURANCE D /DD/YYYY) 1/1/2021 7 7//15/15/2020 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 Lockton Companies CONTACT 444 W.47th Street,Suite 900 PHONE FAX (AIC, IC No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Lexington Insurance Com an 19437 INSURED TERRACON CONSULTANTS,INC. INSURER B:Travelers Property Casualty Co of America 25674 1312893 1421 EDINGER AVE.,STE C INSURER C:The Travelers Indemnity Company 25658 TUSTIN CA 92780 INSURER D: INSURER E: INSURER F: COVERAGES TERC001 CERTIFICATE NUMBER: 16863270 REVISION NUMBER: XXXXXXX 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. INSR TYPE OF INSURANCE ADDL SU D POLICY NUMBER MM/DD�W MMIFF D CY EXP LTR DNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 21000,000 B Y N TC21-GLSA-1118L293 1/1/2020 1/1/2021 PREMISES CLAIMS-MADE � PR OCCUR EMISES Ea occurrence $ 1,000,000 X CONTRACTUAL LIAB MED EXP(Any one person) $ 25,000 X XCU COVERAGE PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY JECOT- LOC PRODUCTS-COMPlOP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y N TC2J-CAP-131J3858 1/1/2020 1/1/2021 COMBINED SINGLE $ Ea accident 2'000,000 X ANY AUTO BODILY INJURY(Per person) $ xxxx X OWNED AUTOS ONLY F AUTOSULED BODILY INJURY(Per accident) $ XXXXXYA HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Par. $ XXXXXXX $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAR HCLAIMS-MADE AGGREGATE $ xxxxxxx DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATIONPER OTH- B AND EMPLOYERS'LIABILITY Y TC2J-UB-6N32541-0(AOS) 1/1/2020 1/1/2021 X STATUTE ER C YIN TRK-UB-6N32384-6 AZ,MA,WI 1/1/2020 1/1/2021 ANY PROPRIETORIPARTNERIF�CECUTIVE N/A ( E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH)EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL N N 26030216 1/1/2020 1/1/2021 $1,000,000 EACH CLAIM& LIABILITY $1,000,000 ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:PROJECT#60205135; PROJECT NAME:SPWG SOLAR PROJECT.REEN RIVER ENGINEERING&CONSULTING ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY,IF REQUIRED BY WRITTEN CONTRACT.WAIVER OF SUBROGATION APPLIES TO WORKERS COMPENSATION/EMPLOYER'S LIABILITY WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION 16863270 GREEN RIVER ENGINEERING&CONSULTING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3491 ELVAS AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. SACRAMENTO CA 95819 AUTHORIZED REPRESENTATIV ©1988 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD