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HomeMy WebLinkAbout(0024) Reliable Waste & Recycling COI.pdf® DATE (MMIDDIYYYY) A� o CERTIFICATE OF LIABILITY INSURANCE 3I212021 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(iesj 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 endorsements CONTACT KathyRDOSZ PRODUCER NAME: Gus Bates Insurance & Investments PHONE FAX 817-529-5340 arc No 3221 Collinsworth St E-MAIL Fort Worth TX 76107 ADDRESS: kathyra� usbates-com _ INSURER A: Nautilus Insurance Company INSURED RELIWAS-01 INSURER : Progressive County Mutual Ins. Co Reliable Waste & Recycling, LLC INSURER C : Texas Mutual Ins Co 2412 Cullen Street Fort Worth TX 76107 INSURER D : INSURER E : ,OVERAGES CERTIFICATE NUMBER: 1731057161 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS SR ADDL SUBR POLICY EFF POLICY EXP SIR TYPE OF INSURANCE POLICY NUMBER MM1D0 MMIDDIYYYY A X I COMMERCIAL GENERAL LIABILITY the 31V2021 3/112022 CLAIMS -MADE FX-1 OCCUR L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PROJECT- ❑ LOC B 1 AUTOMOBILE LIABILITY ANY AUTO ATOSCHEDULED AUTOS AUTOS HIRED AUTOS X KN AUOTOSWNED A UMBRELLA LIAR X OCCUR X EXCESS Li CLAIMS DE❑ I I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEPJEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If ves, describe under NIA 033148820 i 31112021 1 31V2022 tbd 1 3/112021 1 31112022 0002058972 1 31112021 1 3112022 DESCRIPTION OF OPERATIONS/ LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is requ T 1PPV1_CIAN IdIIMRi [D NAMED ABOVE FOR THE POLICY PERIOD )OCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 20,000 PRODUCTS - COMPIOP AGG $ 2,0K000 COMBINED SINGLE LIMIT $ Ea accident 1 00 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ EACH OCCURRENCE $ 5,000,000 AGGREGATE A51000.000 X STATUTE ERH E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE -EA EMPLOYEE $ 1.000,000 E.L. DISEASE -POLICY LIMIT S 1,000,000 red) 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 Fort Worth AUTHORIZED REPRESEN7IVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD