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HomeMy WebLinkAboutCOI ASBURY.pdf ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) il.. � 1 10/28/2022 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 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: Global Risk Management Arthur J. Gallagher&Co. Insurance Brokers of CA. AIc°NN Ext: 818-539-2300 A/C No:818-539-1801 500 N. Brand Boulevard Suite 100 ADDRESS: GRM_Certificates@ajg.com Glendale CA 91203 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: National Union Fire Insurance Company of Pittsburg19445 INSURED WORLOIL-02 INSURER B:ACE Property&Casualty Insurance Co 20699 Asbury Environmental Services dba World Oil Environmental Services 1NsuRERc: Illinois Union Insurance Company 27960 9302 Garfield Avenue INSURERD:AIU Insurance Company 19399 South Gate CA 90280 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1420244885 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 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY GL 7032400 10/31/2022 10/31/2023 EACH OCCURRENCE $2,000,000 Fv� DAMAGE CLAIMS-MADE OCCUR PREM SES�RENTE a o_cur ence $100,000 MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY❑ PRO- JECT ❑ LOC PRODUCTS-COMP/OP AGG $4,000,000 X OTHER: SIR $500,000 A AUTOMOBILE LIABILITY AL 7269915 10/31/2022 10/31/2023 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L $ B X UMBRELLA LIAB X OCCUR M00983615007 10/31/2022 10/31/2023 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION$ $ D WORKERS COMPENSATION 67713171 10/31/2022 10/31/2023 X PER OTH- D AND EMPLOYERS'LIABILITY Y/N 67713172 10/31/2022 10/31/2023 STATUTE I I ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? "/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution Legal Liability G28998569007 10/31/2022 10/31/2023 Each Accident/Agg. $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance in respects the operations of the Named Insured. 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. To Whom it May Concern AUTHORIZED REPRESENTATIVE C' ( ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACTION NEEDED: IMPORTANTNOTICE CONCERNING FUTURE CERTIFICATES Please note that Art hur J. Gallagher Risk Management Services, Inc.will be taking important steps to transition all World Oil Corp.Certificates of Insurance to paperless email delivery. If you wish to continue receiving their most up-to-date Certificate of Insurance when their insurance renewals, please email CertRequests@ajg.com and provide (i) Certificate Number as shown on the top of the certificate,and(ii) up to 2 email addresses which we will add to our distribution list. Kindly note that if no action is taken,you may no longer receive up-to-date Certificatesof Insurance for World Oil Corp.