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A�� "® CERTIFICATE OF LIABILITY INSURANCE
<br />ATE
<br />D02/15/2024D/YYYY)
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<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(ies) 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 />PRODUCER
<br />CONTACT
<br />NAME:
<br />Marsh USA LLCM
<br />COMMERCIAL GENERAL LIABILITY
<br />1717 Arch Streeto
<br />A/CNNo, Ext): A/C No),
<br />E-MAIL
<br />ADDRESS:
<br />Philadelphia, PA 19103-2797m
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<br />EACH OCCURRENCE
<br />$ 5,000,000
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<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: National Union Fire Insurance Co.
<br />19445
<br />CN103174067-CEES-GAWUP-23-
<br />INSURED
<br />Clean Earth Environmental Solutions, Incm
<br />INSURER B : AIU Insurance Cc
<br />19399
<br />INSURER C : Zurich American Insurance Company
<br />16535
<br />933 First Avenue, Ste. 20000
<br />INSURER D : Lexington Insurance Company
<br />19437
<br />King of Prussia, PA 19406m
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<br />INSURER E,
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<br />INSURER F :
<br />U m
<br />COVERAGES CERTIFICATE NUMBER: CLE -006833053-14 REVISION NUMBER: 6
<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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DDIYYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />X
<br />6547157
<br />06/30/2023
<br />06/30/2024
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />CLAIMS -MADE IX I OCCUR
<br />DA AGE TORENTED
<br />PREMIS ES (E. o.Unnence)$
<br />5,000,000
<br />MED EXP (Any one person)
<br />$ 100,000
<br />PERSONAL & ADV INJURY
<br />$ 5,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />GEN'L
<br />X
<br />POLICY JE� [:] LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 5,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />X
<br />7030964 (AOS)
<br />06/30/2023
<br />06/30/2024
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 5,000,000
<br />A
<br />X ANY AUTO
<br />7030965 (VA)
<br />06/30/2023
<br />06/30/2024
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />AUC7364403-05
<br />06/30/2023
<br />06/30/2024
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />A
<br />B
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N/A
<br />WC015825014 (AOS) SIR: $750k
<br />WC015825015 CA
<br />( )
<br />OH, PA, WA
<br />XWC1647426 ( )
<br />06/30/2023
<br />06/30/2023
<br />06/30/2023
<br />06/30/2024
<br />06/30/2024
<br />06/30/2024
<br />X PER oTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 3,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 8,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 3,000,000
<br />D
<br />Excess Liability
<br />62785768
<br />06/30/2023
<br />06/30/2024
<br />Limit
<br />15,000,000
<br />Excess of
<br />10,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Tracy is included as Additional Insureds, where required by written contract, under General Liability and Automobile Liability.0
<br />U
<br />U
<br />U
<br />U
<br />U
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<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Tracym
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />333 Civic Center Drivem
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Tracy, CA 95376m
<br />00
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />00
<br />0o
<br />AUTHORIZED REPRESENTATIVE
<br />©1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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