COMPLIANCE INFO_2021 - Laserfiche WebLink

Home Browse Search

Ac R® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODIYYYY) 11 /18/2020 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)t AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER , IMPORTANT : If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must 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 C NTACT Bowen , Miclette & Britt NAME: Heather Cameron Insurance Agency, LLC PHONE . 713.880-7100 FAA/c N2 : 71M80-7166 1111 North Loop West, #400 ADDRESS: Hcameron bmbinc. com Houston TX 77008 INSURERS AFFORDING COVERAGE NAIC11 INSURER A : Nautilus Insurance Co 17370 INSURED TANKNOLOGY INSURER 8 : Great Divide Insurance Company 25224 Tanknology Inc. 11000 North MoPac Expresssway, Suite 500 INSURER C : Austin TX 78759 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER : 209572585 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, INSR TYPE OF INSURANCE A DLSUBR POLICY EFF POLICY EXP LTRPOLICY NUMBER MMIDD/YYYY MMlDDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ECP0152053820 10/2512020 1012512021 EACH OCCURRENCE $ 10000,000 F�v7l DAMAGE To RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 300,000 X Ded: $25,000 MED EXP (Any oneperson) S102000 PERSONAL E ADV INJURY $ 1 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY x PRO' LOC PRODUCTS • COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y SAP152053920 10/25/2020 10/25/2021 COMBINED INGLE LIMIT (Ea accident) $ r 1 ,000,000 X ANY AUTO BODILY INJURY (Por person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident AUTOS AUTOS (P ) $ HIREDAUTO$ NON•OWNED PROPERTY DAMAGE $ AUTOS (Per accident $ A UMBRELLA LIAR X OCCUR Y Y FFX152054J20 10125/2020 1012512021 EACH OCCURRENCE $ 9,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 91000,000 DED I I RETENTION $ B WORKERS COMPENSATION Y Wf A192054520 1012512020 10/25/2021X STATU OT AND EMPLOYERS' LIABILITY Y ! NER AqY PROPRIETOR/PARTNERIEXECUTIVEE .L. EACH ACCIDENT $ 1 ,000,000 OFFICER/MEMBER EXCLUDED? [wNNJ N I A (Mandatory In NH) E.L DISEASE - EA EMPLOYEE $ 1 ,000,000 If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT S 1000 ODO DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space Is required) The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing: certificates@bmbinc. com General Liability: Blanket additional insured Ongoing Operations per form # ECP 1004 8-16 : ECPO 1000 0&18 Blanket additional insured Completed Operations per form # ECP 1004 8-16 : ECPO 1000 06-18 Blanket waiver of subrogation per form # ENV 2004 6-18 See Attached. . . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, ** SPECIMEN ** For Information Purposes Only AUTHORIZED REPRESENTATIVE © 19884014 ACORD CORPORATION . All rights reserved . ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD