2025-01-01 GAWPP PG-ERG COI CTR054765 & CTR056472.pdf

3 MB Posted

Attached to
Master Agreement AZ|CTR070125
Contract number
CTR070125
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is a comprehensive insurance certificate and associated endorsements for Eastern Research Group, Inc., covering multiple lines of insurance including commercial general liability, automobile liability, umbrella liability, workers' compensation, errors and omissions, and pollution liability. The primary insurers are Federal Insurance Company and Underwriters at Lloyds, with the Arizona Department of Environmental Quality listed as the certificate holder. The insurance policies are effective from January 1, 2024 to January 1, 2025, with coverage for Eastern Research Group, PG Environmental LLC, and additional insured parties.

The insurance policies provide various coverage limits, including $1,000,000 for commercial general liability, $1,000,000 for automobile liability, $10,000,000 for umbrella liability, and $1,000,000 for workers' compensation. The errors and omissions and pollution liability coverage has a $5,000,000 per claim and aggregate limit. The policies include specific provisions for additional insureds, waiver of subrogation, and coverage for contracts with the State of Arizona under contract numbers CTR054765 and CTR056472. The endorsements also detail primary and non-contributory liability insurance terms and coverage for designated insured parties.

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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

12/28/2023

Eastern Insurance Group LLC 233 West Central St Natick MA 01760

Tina Hayes 508-620-3403 781-586-7940 chayes@easterninsurance.com

Federal Insurance Company 20281 EASTRES-02 Underwriters at Lloyds

Eastern Research Group Inc PG Environmental LLC 561 Virginia Rd.

STE 300, BLDG 4

Concord MA 01742

657218513

A X 1,000,000 X 1,000,000

10,000

1,000,000

2,000,000 X X

36032885 1/1/2024 1/1/2025

2,000,000

A 1,000,000

X

X X

99494564 1/1/2024 1/1/2025

A X X 10,000,00078180750 1/1/2024 1/1/2025

10,000,000 X 10,000

A X71754105 1/1/2024 1/1/2025

1,000,000

1,000,000

1,000,000 B B

Errors&Omissions and Pollution Liability

B0621PNEKA000124

B0621PNEKA000124

1/1/2024 1/1/2024

1/1/2025 1/1/2025 per claim aggregate

$5,000,000 $5,000,000

The State of Arizona, its departments, agencies, boards, commissions, universities, and its officers, officials, agents, and employees are addtional insureds with respect to the general liability and auto policy per their contract with the insured for contract# CTR054765 and CTR056472. And they have a waiver of subrogation in their favor on those two policies and on the workers compensation policy.

Arizona Department of Environmental Quality 1110 W Washington St.

Phoenix AZ 85007

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