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2024-194-E-AMS-Williams Scotsman-Lease for 2 Mobile Trailers at RENA
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2024-194-E-AMS-Williams Scotsman-Lease for 2 Mobile Trailers at RENA
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Last modified
5/28/2024 8:39:00 AM
Creation date
5/28/2024 8:38:50 AM
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Template:
Contract
Date
3/26/2024
Contract Starting Date
3/26/2024
Contract Ending Date
4/2/2024
Contract Document Type
Contract
Amount
$15,832.54
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ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />WILLSMOBIL <br />1 1 <br />Lovitt &Touché A Marsh and McLennan Agency,LLC Williams Scotsman,Inc.and its Subsidiaries <br />4646 E.Van Buren Street,Suite 400 <br />Phoenix AZ 85008 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />Excess Liability:$5,000,000 xs of Primary GL/EL (Follows Form &Excess over General Liability &Employer's Liability) <br />Insurer:Scottsdale Indemnity Company /NAIC #15580 <br />Policy Number:XLI2000073 <br />Eff Date:11/1/2023 Exp Date:11/1/2024 <br />Excess Liability:$3,000,000 xs $5,000,000 (Follows Form &Excess over General Liability &Employer's Liability) <br />Insurer:Allied World Assurance Co (U.S.)Inc./NAIC #19489 <br />Policy Number:03140527 <br />Eff Date:11/1/2023 Exp Date:11/1/2024 <br />Excess Auto:$5,000,000 xs $5,000,000 (Follows Form &Excess over Auto Liability) <br />Insurer:National Fire &Marine Insurance Co./NAIC #20079 <br />Policy Number:42XSF30183209 <br />Eff Date:11/1/2023 Exp Date:11/1/2024 <br />Excess Auto:$5,000,000 xs $10,000,000 (Follows Form &Excess over Excess Auto Liability) <br />Insurer:QBE Specialty Insurance Company /NAIC #11515 <br />Policy Number:140001304 <br />Eff Date:11/1/2023 Exp Date:11/1/2024 <br />Participating Insurers: <br />Endurance American Specialty Ins.Co.-Policy Number:ELD30002124903 -Limit of Liability:$2,500,000 -Participating Percentage:50% <br />QBE Specialty Ins.Co.-Policy Number:140001304 -Limit of Liability:$2,500,000 -Participating Percentage:50% <br />Re:Unit #(s)or WS Order #(s):Order #309461 &309462. <br />Project #/P.O.#2200991 <br />Lease Completion Date:5/18/2025. <br />Orange County,its officers,agents and employees are to be designated,are included as additional insureds if required by written contract. <br />DocuSign Envelope ID: 5226D540-2669-4380-880F-9D1308030B51
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