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<br /> '� ® 10/17/2023
<br /> DATE(MM/DD/YYYY)
<br /> '416.1 CERTIFICATE OF LIABILITY INSURANCE
<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. If
<br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this w
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT a
<br /> NAME:
<br /> Aon Risk insurance services west, Inc. `m
<br /> Denver CO Office (NONNo.Ext): (303) 758-7688 A/C No (303) 758-9458 v
<br /> 0
<br /> 1900 16th street, suite 1000 E-MAIL x
<br /> Denver CO 80202 USA ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Zurich American Ins CO 16535
<br /> HGS, LLC dba RES Environmental operating INSURER B: Scottsdale Ins Company 41297
<br /> Company, LLC
<br /> 3600 Glenwood Avenue, suite 100 INSURER C:
<br /> Raleigh INC 27612 USA INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 570102284001 REVISION NUMBER:
<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. Limits shown are as requested
<br /> INSR ADDL SUBRPOLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> B X COMMERCIAL GENERALLIABILITYVRS0006957 10/01/2023 10/01/2024 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE F_.1 OCCUR DAMAGE TO RENTED $350,000
<br /> L� PREMISES Ea occurrence
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'LAGGREGAT�E LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY x PE❑LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> �J o
<br /> OTHER: Deductible $25,000 p
<br /> r
<br /> A AUTOMOBILE LIABILITY BAP 8633906 — 03 10/08/2023 10/08/2024 COMBINED SINGLE LIMIT $2,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) 0
<br /> O
<br /> OWNED
<br /> SCHEDULED BODILY INJURY(Per accident) Z
<br /> AUTOS
<br /> AUTOS ONLY N
<br /> HIREDAUTOS NON-OWNED PROPERTY DAMAGE jp
<br /> ONLY AUTOS ONLY Per accident 2
<br /> d
<br /> B UMBRELLA LAB X OCCUR VE50004308 10/01/2023 10/01/2024 EACH OCCURRENCE $10,000,000 0
<br /> X EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DEO I RETENTION Automobile Excess Limit $9,000,000
<br /> A WORKERS COMPENSATION AND WC863390703 10/08/2023 10/08/2024 X I PER STATUTE OTH-
<br /> EMPLOYERS'LIABILITY Y/N I IER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $1,000,000
<br /> OFFICE /MEMBER EXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> B Environmental Contractors VR50006957 10/01/2023 10/01/2024 Ea Claim / Cvg $1,000,000
<br /> and Prof Prof/Poll - Claims Made Aggregate $2,000,000
<br /> Deductible $25,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: RES Project No. 109816, Project Name: Gravelly Hill Middle school Stormwater Wetland Retrofit Project, Project Site
<br /> Location: NC. orange County, its officers, agents and employees are included as Additional Insured in accordance with the
<br /> policy provisions of the General Liability policy.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE _
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> ti■
<br /> POLICY PROVISIONS.
<br /> Orange County AUTHORIZED REPRESENTATIVE F.J
<br /> 300 West Tryon Street S6
<br /> Po Box 8181
<br /> Hillsborough NC 27278 USA
<br /> ©1988-2015 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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