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DATE(MMIODNYYY) <br /> ACORV CERTIFICATE OF LIABILITY INSURANCE <br /> 7/1/2021 6/23/2020 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER Lockton Companies NAME: <br /> Three City Place Drive,Suite 900 PHONEaC No <br /> St.Louis MO 63141-7081 E-MAIL <br /> (314)432-0500 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC A <br /> INSURER A:XL Insurance America Inc. 24554 <br /> INSURED Corrpro Companies,Inc. INSURER B:ACE American Insurance Company 22667 <br /> 1316495 20991 Cabot Boulevard,Building 5 INSURER C:Indemnity Insurance Co of North America 43575 <br /> Hayward CA 94545 INSURER D:Starr Indemnity&Liability Company 38318 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CORC002 CERTIFICATE NUMBER: 15495702 REVISION NUMBER: XXXXXXX <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ]NSR TYPE OF INSURANCE ADDL SUBR POLICPOLICY NUMBER MMIDDmYY FF MMIDCY EXP DIYYYY LIMITS <br /> LTR A X COMMERCIAL GENERAL LIABILITY y Y CGD300084905 7/1/201.0 7/1/2021 EACH OCCURRENCE —s2000,000 <br /> DAMAGET . <br /> A CLAIMS-MADE IN]OCCUR XCII/BROAD FORM PD PREMISES(Ea occurrence)_ $ 1,000000 <br /> MED EXP(Anyone person,___$ 1 M00_ <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000 000 <br /> POLICY XI JECT ❑X LOC PRODUCTS-COMPIOP AGG $ 4,000,000 <br /> OTHER: $ <br /> D AUTOMOBILE LIABILITY y y ISAH25302540 7/1/2020 7/1/2021 EDM.ccidEDISINGL MIT $ 51000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX <br /> AUTOS ONLY AUTOS S XXXXXXX <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident _ <br /> $ XXXXXXX <br /> i D UMBRELLA LIAB X OCCUR Y Y 1000095154201 7/1/2020 7/112021 EACH OCCURRENCE s 5,000,000 <br /> iX EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5 000 000 <br /> DED RETENTION$ S XXXXXXX <br /> WORKERS COMPENSATION <br /> H AND EMPLOYERS'LIABILITY Y WLRC157457262 CA/MA) 7/1/2020 7/1/2021 X STATUTE <br /> ER <br /> H <br /> C ANY PROPRIETOPJPARTNERIEXECUTIVE Y/N WLRC67457225(AGS) 7/]/2020 7/1/2021 E.L.EACH ACCIDENT S 1,000,000 <br /> C OFFICER/MEMBER EXCLUDED? NIA (EXCLUDING MONOPOLISTIC <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1.000.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> PROJECT:INSTALLATION OF CATHODIC PROTECTION. <br /> I <br /> i <br /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> 15495702 <br /> UNDERGROUND CONSTRUCTION CO.,INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 1 5145 INDUSTRIAL WAY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 5145 INDCIA S RIAL ACCORDANCE WITH THE POLICY PROVISIONS. <br /> BENk� AUTHORIZED REPRESENTATI <br /> I <br /> eo <br /> ©1988-2 CORD CORPORAT N. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> r <br /> t <br /> S <br />