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GREEND4 OP ID, <br />,4coRv CERTIFICATE OF LIABILITY INSURANCE DA1311132025 ) <br />03/13/2025 <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 POLICIEq� <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />I <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the <br />If SUBROGATION IS WANED, subject to the terms jjAguAllimMI <br />IURED provisions or be endors <br />an endorsement. A statement <br />PRODUCER a.ra- e�-o PIN <br />Rothschild Agency, Inc g FAX8979 Broadway Alc xeMerrillville, IN 46410- <br />Peter Monger, CRIS ERAGE NAICN <br />nsurance Co.INSURED k Insurance Company <br />Green Demolition Contractors, Inc.Janet Dommer 316 Brighton SL, Ste 1 <br />LaPorte, IN 46360 <br />:SURER E: <br />WSURER F: <br />CflVFRA(:FS CFRTIFICATF NI IMRFP- REVISION NIIMRFR- <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 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 <br />TYPE OF INSURANCE <br />AOD <br />SUB <br />POLICYNUMBER <br />POLICY EFF <br />POLICY O(PITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMSAIADE OCCUR <br />ECP2044MI-10 <br />101011202410/0112026 <br />EACH OCCURRENCE <br />$ 1,000,0 0 <br />RENTED <br />DAMAGES fee oaximnos) <br />S 100,0 0 <br />MEDEXP An one rsan <br />S 5,0 0 <br />PERSONAL AADV INJURY <br />S 1,000,0 0 <br />GENL AGGREGATE UNIT APPLIES PER: <br />POLICY ❑X j F-1LOC <br />OTHER: <br />GENERALAGGREGATE <br />$ 2,000,010 <br />PRODUCTS-COMP/OPAGG <br />2,000,0 0 <br />B <br />AUTOMOBILE LIABILITY <br />IxANY AUTO <br />AUpT�O�S ONLYNAUUTTOSWULNEEDp <br />AUTOS ONLY AUTOl ONLY <br />BAP2044939.10 <br />10/01/2024 <br />10/01/2026 <br />COMBINED SINGLE LIMIT <br />$ 1,000,010 <br />BODILY INJURY Perperson) <br />$ <br />GpODLEYIITNJJURY Per ecddent <br />$ <br />Peal AGE <br />S <br />A <br />X <br />usuaRELLAuAB <br />EXCESS LINGCLAIMS#1ADE <br />X <br />OCCUR <br />FFX2044840.10 <br />10/01/2024 <br />10/01/2025 <br />EACH OCCURRENCE <br />$ 10,000,0 O <br />AGGREGATE <br />If10,000,0 0 <br />DED X RETENTIONS 10000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />(MFanGalgry In NHj EXCLUDED? <br />U yas daecd0e under <br />°ESG�RIPTION FOPERATI N below <br />NIA <br />PER OTH- <br />ISTATUTE ER <br />E.L. EACH ACCIDENT <br />S _ <br />S <br />E.L. DISEASE -EA EMPLOYE <br />E.L. DISEASE- POLICY LIMIT <br />A <br />Pollution Liab <br />Incl Mold <br />ECP2044841-10 <br />10/01/2024 <br />10/01/2025 <br />Limit <br />Aggregate <br />1,000,000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is mqulmd) <br />Green Demolition Contractors <br />Inc <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUDTHORRED REPRESENTATIVE <br />1/ & <br />©1988-2015 ACORD CORPORATION. All rights <br />The ACORD name and logo are registered marks of ACORD <br />