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DATE (MMIDDIYYYY) <br />AC `C]K� 0912712022 <br />k�- CERTIFICATE OF LIABILITY INSU"NCE Acct#: 2494005 <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. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />LOCKTON COMPANIES, LLC NAME] <br />PHONE 2100 ROSS AVE., SUITE 1400 (".Ko,E.n: 214-7711-4411 WC. NO <br />DALLAS, TX 75201 E-KMLAOURESS: <br />W CORE SOU RCIN GEDO E.COM <br />INSURED <br />GREEN DEMOLITION CONTRACTORS INC. <br />4840 S ST LOUIS AVE SUITE 100 <br />CHICAGO, IL 60632 <br />INSURERI B} AFFORDING COVERAGE <br />1 4311RER A: IRdem Illy Intl U ranee CO. Of Norlh Amo rice <br />INSURER a. <br />INSURER C <br />INSUR ER O : <br />INSURERE. <br />NAIL C <br />43575 <br />COVERAGES CERTIFICATE NUMBER: <br />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 <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADOL 66it POLICY EFF POLICY EXP <br />LTR— TYPE OF INSURANCE INGO VVvD POLICY NUMBER (MMIDDrt/YYY (MMIDD/YYYY) <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIMS- OCCUR <br />,j� <br />DAMAGE T`4ItEftlTED <br />PREMISES (Ea ocrurtoecel $ <br />I� <br />J <br />MED EXPIAny ono person) $ <br />ij <br />PERSONAL d ADV INJURY $ <br />G_EN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />�p5R0- DOC <br />I <br />{{�DLICY <br />L.-1 <br />PRODUCTS - COMP/OP AGO S <br />]6iH[it <br />I <br />1111I <br />I <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED o $ <br />(Ea aueidenl) <br />ANY AUTO <br />BODILY INJURY (Por person) T <br />OWNED l SCHEDULED <br />AUTOS ONLY AUTOS. <br />EMILY INJURY (aor 8CCldonq 5 <br />HIRED NOR -OWNED <br />"PROPERTY DUNNAGE <br />AUTOS ONLY AUTOS ONLY <br />I <br />LM mCNd"D $ — <br />_ <br />$ <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $ <br />EDETENiI N <br />W M N All ON_ <br />A AND EMPLOYERS' LIABILITY YIN <br />X STATUTE _ ERH _ <br />4NYPROPRIETORIPARTNERIEXECUTIVE <br />DFFICEWMEMBER EXCLUDED? NIA 051370325 1010112022 10101/2023 <br />EL EACH ACCIDENT $ 1,000,000 <br />(Mandatory In NH) <br />If yos, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE - EAEMPLOYEE $ 1?BDD t 000 <br />—. .. _._._ .__. <br />EL DISEASE- POLICY LIMIT $ 1,000,000 <br />I <br />OESCRIPYMN OF OPE RATIONS LOCA DONS I VEHICLES (ACORD Q1. Addillortal Rem ann 30%dVle, mey h6 all settnd If mora apace Is mqul red) <br />WAIVER OF SUBROGATION IN FAVOR OF CERTIRCATO HOLDER WHEN AEQUI RED UY WRITTEN CONTRACT. <br />RE' 7042 LAMPIIIER HIGH 6CHODL- AVOITIDRS 1, RENOVATIONS• 1570". t17H Sr., 9PRIRGFIELP, IL 62?02 <br />R(: r04? LANP111ER HWH BC HCOL• Anp1TIONS a BENOVATIONS• 1700 H. t1TH or,, aPRNGF Ip 4O. It IRM <br />amen Dam6lllee Qnlrecsere In;. (xW1I Is Included me e named IPia1e6 through endwaamenL <br />Werk -re CemPeneerlen eer4rayn [e pmuf6ad to ampluyeas le4sed to Qlean Damn lllen Cenlrodors Irb IMougb Reed Mir ii Edo* 1, LLC <br />SAMPLE <br />It rIULUr_K <br />HAROLD O'SHEA BUILDERS, INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />GENERAL CONTRACTOR BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />3401 CONSTITUTION DR. ACCORDANCE WITH THE POLICY PROVISIONS. <br />SPRINGFIELD, IL 02711 <br />AUTHORIZED REPRESENTATIVE <br />(V 1 VU8-LU10 ACUKIJ GORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />