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HomeMy WebLinkAboutCOI - NRC Environmental Services Inc. - Expires 2022-05-01Page 1 of 2 ACt9kR" CERTIFICATE OF LIABILITY INSURANCE DATE(MNU00/YYYY) L- ­ 09/27/2021 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Willis Towers Watson Certificate Center Willis Towers Watson Insurance Services West, Inc. PHONE C/o 26 Century Blvd &N 1-877-945-7378 aC No):1-888-467-2378 MAtL P.O. Box 305191 ADDRESS: certificates@willia.com Nashville, TN 372305191 USA ,..wuwww,w..wr•w.ww w 11w .u,wu INSURER A: Zurich American Insurance Company 16535 INSURED INSURER B • American Guarantee and Liability Insurance, 26247 NRC Environmental Services Inc. 1605 Ferry Point INSURER C • Interstate Fire a Casualty Company 22829 Alameda, CA 94501 INSURER D : Aspen Specialty Insurance Company 10717 INSURER E • Allied World Assurance Company US Inc 19489 INSURER F : COVERAGES CFRTIFIf_oTF MRIMRRR• W22268574 R(=VICIAN NilIAARI=R• 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. ILTR ` TYPE OF INSURANCE 'AODL SUBR� POLICY EFF POUCY EXP POLICY NUMBER MM10D/YYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 ___1 CLAIMS MADE 1 OCCURr PREMISES (Ea occurrence $ 500,000 A X $250, 000 SIR MED EXP (Any oneperson) $ 25,000 X XCU j Y Y GLO-4525419-00 05/01/2021 05/01/2022 E PERSONAL & ADV INJURY $ 2,000,000 G_E_N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE + $ 4,000,000 •-----,, R PCTO- ---, XPOLICY . X ! JE- LOC f_�_..----------�-•-------------------_—._..� PRODUCTS COMP/OP AGO 13 4,000,000 OTHER: Is AUTOMOBILE LIABILITY __. COMBINED SINGLE LIMIT 1 $ 2, 000, 000 Ea accident).____-_ - X ANY AUTO BODILY INJURY (Per person) i $ A OWNED SCHEDULED Y Y BAP-4525418-00 05/01/2021 AUTOS ONLY AUTOS X pHIREDg X NON -OWNED ONLY AUTOS ONLY 05/01/2022 , BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident i $ MCST�IT _ is X Included B UMBRELLA LIAB X OCCUR X EXCESS LIAB Y Y SXS-4179946-00 05/01/2021 05/01/2022 EACH OCCURRENCE is 10,000,000 10, 000, 000 CLAIMS -MADE AGGREGATE $ DED ! X '' RETENTION $ 0 g WORKERS COMPENSATION X PER OT ` EMPLOYERS'LIABILITY YIN i STATUTE ER ' E.L. EACH ACCIDENT - -- _ _ .. ... -- .__ _.-- -_ --_•_ 000 $ 1,000,000 _. ._ _ --- _---_- A J ANYPROPRIETORlPARTNER/EECUTIVE No N! A Y I OFFCEFV EMBEREXCLUDED? WC-4525417-00 04/30/2021 D5/O1/2022 (Mandatory In NH) E.L. DISEASE EA EMPLOYEE $ 1,000,000 II yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT 1 $ 1,000,000 C Excess Liability - Auto Buffer USZ00030320 05/01/2021 05/01/2024jEach Occurrence I$3,000,000 ;Over Auto Only DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space is required) Certificate Holder is included as an Additional Insured as respects to General Liability, Auto Liability, Excess Liability, Contractors Pollution Liability and Professional Liability as per written contract. General Liability, Auto Liability, Excess Liability, Contractors Pollution Liability and Professional Liability policies shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by SEE ATTACHED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 21630313 BATM: 2249880 2 of 3 7377 AGENCY CUSTOMER ID: LOC #: a ORD® ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Willis Towers Watson Insurance Services West, Inc. NRC Environmental Sorvicos Inc. 1605 Furry Point POLICY NUMBER Alameda, CA 94501 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Additional Insured as per written contract. Page 2 of 2 Waiver of Subrogation applies in favor of Additional Insured with respects to General Liability, Auto Liability, Excess Liability, Workers Compensation, Contractors Pollution Liability and Professional Liability as permitted by law. The Excess Policy is follow form and in excess of liability coverage, with the exception of the pollution liability policy evidenced. Stop Gap Coverage is included for ND, OH, WA, and WY. Additional Insureds: City of Gilroy, officers and employees INSURER AFFORDING COVERAGE: Aspen Specialty Insurance Company POLICY NUMBER: ERAFKTK21 EFF DATE: 08/01/2021 EXP DATE: 08/01/2022 ADDITIONAL INSURED: Y SUBROGATION WAIVED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Contractors Pollution & Each Incident $15,000,000 Professional Liability Aggregate $15,000,000 Retro Date: 08/1/96 Ded: Per Incident $250,000 INSURER AFFORDING COVERAGE: Allied World Assurance Company US Inc POLICY NUMBER: 0313-0024 EFF DATE: 08/01/2021 EXP DATE: 08/01/2022 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Excess Contractors Pollution & Each Incident $10,000,000 Professional Liability Aggregate $10,000,000 NAIL#: 10717 NAIC#: 19489 ADDITIONAL REMARKS: The Excess Contractors Pollution and Professional Liability Policy is follow form and in excess of underlying Contractors Pollution and Professional Liability coverage. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 21630313 BATCH: 2249880 CERT: W22268574 AdditionalNamed Insured Listing US ECOLOGY, INC. EQ PARENT COMPANY, INC. NRC Group Holdings Corp NRC Group Holdings, LLC EQ HOLDINGS, INC. Specialized Response Solutions, L.P. US ECOLOGY LIVONIA, INC. (Formerly EQ The Environmental Quality Company) LP OSRV Holdings, Inc. MICHIGAN DISPOSAL, INC. NRC NY Environmental Services, Inc. WAYNE DISPOSAL, INC. NRC Payroll Management LLC US ECOLOGY ROMULUS, INC. (EQ Resource Recovery, Inc.) NRC Environmental Services Inc EQ INDUSTRIAL SERVICES, INC. NRC Alaska LLC changed 7/1/21 to US Ecology Alaska, LLC. EQ INDUSTRIAL SERVICES, INC. (Detroit Service Center) National Response Corporation of Puerto Rico EQ INDUSTRIAL SERVICES, INC. (Atlanta) National Response Corporation EQ INDUSTRIAL SERVICES, INC. (Indianapolis) NRC Intermediate Int. Holding Company LLC EQ INDUSTRIAL SERVICES, INC. (Ohio) TMC Services, Inc. dba TMC Environmental TMC Services, Inc. EQ NORTHEAST, INC. TMC Holdings & Development, LLC EQ DETROIT, INC. Right Wing Realty, LLC EQ DETROIT, INC. (Transfer & Processing) Plum Island, LLC US ECOLOGY TAMPA, INC. (Formerly EQ Florida Inc.) EQ MOBILE RECYCLING, INC. NRC East Environmental Services, Inc. ENVIRITE OF OHIO, INC. (DBA - EQ Ohio) ENPRO Services of Vermont, Inc. EQ METALS RECOVERY LLC NRC Environmental of Maine, Inc. ENVIRITE OF ILLINOIS, INC. (DBA - EQ Illinois) DAC, LLC ENVIRITE OF PENNSYLVANIA, INC. (DBA - EQ Pennsylvania) DAC III, LLC US ECOLOGY TULSA, INC. (Formerly EQ Oklahoma, Inc.) DAC 11, LLC ENVIRITE TRANSPORTATION LLC BRUDAC, LLC RTF ROMULUS LLC Terralink Systems, Inc. US ECOLOGY SULLIGENT, INC. (Formerly known as EQ Alabama, Inc.) Old Blackstone Realty, LLC US ECOLOGY TAYLOR, INC. (Formerly Vac -All Services, Inc.) ENPRO Holdings Group, Inc. US ECOLOGY MICHIGAN, INC. (Formerly Dynelcol) OP -TECH Environmental Services, Inc. dba NRC Environmental Services US ECOLOGY VERNON, INC. US ECOLOGY HOUSTON, INC. Progressive Environmental Services, Inc. US ECOLOGY TRANSPORTATION SOLUTIONS, INC. Progressive Environmental Services, Inc. dba SWS Environmental Services US ECOLOGY IDAHO, INC. US ECOLOGY NEVADA, INC. Progressive Environmental Services, Inc. dba Eagle SWS US ECOLOGY TEXAS, INC. Southern Waste Services, Inc. dba SWS First Response US ECOLOGY WASHINGTON, INC. Eagle Construction and Environmental Services, LLC US ECOLOGY ILLINOIS, INC. US ECOLOGY WINNIE, LLC US Ecology Energy Waste Disposal Services, LLC US ECOLOGY HOLDINGS, INC. US Ecology Karnes County Disposal, LLC US Ecology Thermal Services, Inc Quail Run Services, LLC I1MR SITc rrniFR rnRI:IG1U r%r i nrai rrniF:R, NRC Gulf Environmental Services, Inc. CANADA: USE Canada Holdings, Inc. CANADA: US Ecology Stablex Holdings, Inc. CANADA: E.S.I. (Environmental Services Inc) CANADA:US Ecology Canada Inc fka W.I.S.E.EnvironmentalSolutions,Inc ANGOLA: National Response Corporation (Angola) Lda GEORGIA: NRC International Services Ltd MEXICO: NATIONAL RESPONSE CORPORATION MEXICO NRC, S. DE R.L. DE C.V EQ de Mexico, Inc. TURKEY: NRC Environmental Protection Waste Management & Remediation Services AS UAE: National Response Corporation (NRC) Environmental Services UAE LLC UK: NRC Environmental Services (UK) Limited NRC WWS (UK) Limited 3 of 3 7377