OTHER-2022-052-Blue Strike Environmental consulting service agreement

Browse Search

DocuSign Envelope ID : 69FI IA6C-C65C-4EAD-ADFD-64957D8CCEOA AC" o�z � CERTIFICATE OF LIABILITY INSURANCE DATE ( MM/DD/YYYY) am 9 / 29 / 2022 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 ) . PRODUCER NAME:CONTACT Silvia Prieto Leavitt Central Coast Insurance Services , Inc . PAHONN Ext : ( 831 ) 424 - 6404 Ac, No ; ( 831 ) 424 -0140 License # OG39781 AIL ADDRESS : silvia -prieto@leavitt . com 950 East Blanco Rd , Suite 103 INSURERS AFFORDING COVERAGE NAIL # Salinas CA 93901 INSURERA : Sentinel Insurance Company 11000 INSURED INSURER B : United Financial Casualty Company 11770 BLUE STRIKE ENVIRONMENTAL INC , DBA : EcoShift Consulting INSURER C : Kinsale Insurance Company 38920 126 Bonifacio Pl , Suite G INSURER D : Com West Insurance Company 12177 INSURER E : Scottsdale Insurance Company a41297 Monterey CA 93940 INSURERF : Gemini Insurance Company 10833 COVERAGES CERTIFICATE NUMBER : 2021 - 2022 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY NUMBER MM/DD/YYYY MM/DD/YYYY INSD MDLIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2 , 000 , 000 DAMAGE TO RENTED A CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 11000 , 000 57SBABL3123 11 / 16/2021 11 / 16/2022 MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 2 , 000 , 000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4 , 000 , 000 X POLICY ❑ PRO- F] LOC 41000 , 000 JECT PRODUCTS $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 11000 , 000 B ANYAUTO BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED 03741349 -2 6 1 /2022 12 / 1 /2022 BODILY INJURY Per accident $ AUTOS AUTOS / ( ) X HIRED AUTOS X NON OWNED PROPERTY DAMAGE AUTOS Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2 , 000 , 000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 21000 , 000 DED RETENTION $ 0100136188 - 1 11 / 16/2021 11 / 16 /2022 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT $ 1 000 00 0 D OFFICERIMEMBER EXCLUDED? NIA � � (Mandatory in NH) WCV5502121 3 / 1 /2022 3 / 1 /2023 E.L. DISEASE - EA EMPLOYEE $ 11 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ 1 o00 00o E DIRECTORS AND OFFICERS EKS3412885 12 /29 /2021 12 /29 /2022 PEROCC/AGG $ 1 , 000 , 000 F PROFESSIONAL LIABILITY VNPL008495 1 / 18 /2022 1 / 18 /2023 PEROCC/AGG $ 11000 , o00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Asset Management Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 West Tyron ACCORDANCE WITH THE POLICY PROVISIONS , Hillsborough , NC 27278 AUTHORIZED REPRESENTATIVE Silvia Prieto / SIPRIE � © 1988 -2014 ACORD CORPORATION . All rights reserved . ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD INS025 (201401 )