2014-207 DEAPR - Parratt-Wolff Inc. for installation of groundwater observation wells $15,000

Browse Search

CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNrlrY) F5/5/2014 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 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). NT CT PRODUCER NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 677 Broadway 4th Floor E-MAIL t A/C Ne: - - Albany NY 12207 ADDRESS' INSURERS AFFORDING COVERAGE NAIC# INSURER A:Netherlands Insurance Company 4171 INSURED INSURER B:Peerless Insurance Com 1 Parratt-Wolff Inc INSURER C: Joel Parratt INSURER D American Safety Indemnity m 4 PO Box 56 Fisher Road East Syracuse NY 13057 INSURERE:RS I Indemnity m n 2 14 !, I INSURER F:Peerless Indemnity Insurance Compan 1 COVERAGES CERTIFICATE NUMBER:1320055807 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN R WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY CBP8440821 /15/2013 /1512014 EACH OCCURRENCE $1000000 tXXCXoCMUMC DAMAGE TO RENTED ERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100000 LAIMS-MADE �OCCUR MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $1000000 X Contractural GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 X POLICY PRO- LOC $ B AUTOMOBILE LIABILITY BA8440922 /15/2013 /15/2014 t Ea accident $1000000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident C UMBRELLA LIAB X OCCUR CU8440630 /15/2013 /15/2014 EACH OCCURRENCE $5000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5000000 DED X RETENTION$10000 $ F WORKERS COMPENSATION 08664338 /112014 /1/2015 X WC LIMIT OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under j DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Pollution Liability PLO19453-13-06 /15/2013 /15/2014 Limit 6000000 E Excess Umbrella NHA063583 /15/2013 /15/2014 Excess of$5m 5000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured Status Granted per Form 22-45(12/02)General Liability and CLM CPL 00 011 (05/11)and CLM CPL 00 012(05/11) Pollution Liability Orange County is named as additional insured. Waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 200 S.Cameron St, PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD