2020-671-AMS-Environmental Restoration

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Environmental Restoration, L.L.C.AssuredPartners of Missouri, LLC 25 Certificate of Liability Insurance: Notes EXTENSIONS OF COVERAGE: Named Insured includes: Quality Safety Products, LLC COMMERCIAL GENERAL LIABILITY (Occurrence Form)/CONTRACTORS’ POLLUTION LIABILITY (Occurrence Form)/PROFESSIONAL LIABILITY (Claims-Made Form) A) Blanket Additional Insured with respect to work performed by the Named Insured, as required by written contract; B) Blanket Additional Insured Primary and Non-Contributory, as required by written contract; C) Blanket Additional Insured, Primary and Non-contributory applies to Ongoing and Completed Operations, as required by written contract; D) Blanket Waiver of Subrogation with respect to work performed by the Named Insured, as required by written contract; E) Blanket Additional Insured-Lessor of leased/rented equipment, as required by written contract; F) Blanket Contractual Liability-Railroads, as required by written contract; G) Watercraft Liability for watercraft under 30’ owned or operated by the Insured; H) Stop Gap provided for ND, OH, WA, WY, PR USVI; I) Coverage provided for incidents occurring within 50’ of railroad property; J) General Aggregate Limit applies per Project; K) Transportation Pollution Liability and Contingent Transportation Pollution Liability included; L) Contractual Liability provided for liability for damages assumed in an “insured contract” as definined in the Commercial General Liability terms, conditions, and exclusions; M) Commercial General Liability does not exclude explosion, collapse, and underground hazards (XCU); N) Asbestos Abatement Liability covered under the Contractor's Pollution Liability coverage; O) Blanket Non-Owned Disposal Site Coverage-Off Site Only, Retroactive Date-6/11/2012. COMMERCIAL AUTO LIABILITY A) Blanket Additional Insured, as required by written contract; B) Blanket Additional Insured & Loss Payee-Lessor for rented vehicles, as required by written contract; C) Blanket Primary and Non-Contributory, as required by written contract; D) Blanket Waiver of Subrogation, where permitted by law and as required by written contract; E) Hired Car Physical Damage is ACV to cost of repair of $250,000, which is less, minus $100 Comprehensive Deductible and $1,000 Collision Deductible; F) MCS-90 Form includes Pollution Liability and Public Liability, if required by written contract; G) Coverage for Certain Operations in Connection with Railroads included; H) CA9948-Pollution Liability-Broadened Coverage for Covered Autos-Business Auto and Motor Carrier Coverage Forms. WORKERS’ COMPENSATION/EMPLOYERS LIABILITY A) Blanket Waiver of Subrogation where permitted by law and as required by written contract; B) Longshore and Harbor Workers Compensation Act, and Maritime Coverage, all applicable states C) Owners/Partners/Executive Officers are not excluded from coverage. EXCESS LIABILITY A) Follow Form of above policies as respects Additional Insured, Primary and Non-contributory, and Waiver of Subrogation provision; B) Excess Liability limits shown are excess and in addition to Commercial General Liability, Contractors Pollution Liability (Occurrence Form), Professional Liability (Claims-Made Form), Business Auto Liability, and Employers Liability. SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: DocuSign Envelope ID: 197A4030-CBE1-4DED-9E62-89FB7D2FB366