3-Attachment_-_Supplement_Insurance.pdf
PDF 816 KB Posted
- Attached to
- Master Agreement AZ|CTR077087
- Contract number
- CTR077087
- Issued by
- Arizona
About this file
This document is a comprehensive insurance certificate and policy package for Garner Environmental Services, Inc., issued by multiple insurance carriers including Steadfast Insurance Company, Travelers Lloyds Insurance Company, Zurich American Insurance Company, and Arch Specialty Insurance Company. The policy is primarily focused on providing coverage for Garner Environmental Services and its affiliated companies, with the Arizona Department of Administration State Procurement Office listed as the certificate holder. The insurance package covers multiple jurisdictions and includes various types of liability coverage such as commercial general liability, automobile liability, workers' compensation, contractors' pollution liability, professional liability, and cyber liability.
The insurance policy is effective from 5/5/2024 to 5/5/2025 and is associated with Solicitation Number BPM006719 for Statewide Emergency Response Services and Solutions. The coverage includes extensive protections with significant liability limits, such as $2,000,000 for each occurrence in general liability, $10,000,000 in umbrella liability, and $1,000,000 for workers' compensation. The policy provides worldwide coverage, including the Gulf of Mexico and international waters, with specific provisions that claims will be determined in suits within the United States, its territories, or Canada. The policy also includes blanket additional insured status, waivers of subrogation, and primary and non-contributory insurance provisions for various entities as required by written contracts.
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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
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
1/27/2025
Higginbotham Insurance Agency, Inc.
11700 Katy Freeway, Suite 1100 Houston TX 77079
Bee Bigtacion 713-888-3951 713-952-9939 bbigtacion@higginbotham.net
Steadfast Insurance Company 26387 GARNENV-01 The Travelers Lloyds Insurance Company 41262
Garner Environmental Services, Inc See Name Insured Schedule 952 Echo Lane, Suite 400 Houston TX 77024
Zurich American Insurance Company 16535 Arch Specialty Insurance Company 21199
1601784385
A X 2,000,000 X 300,000
X POLLUTION 25,000
X PROFESSIONAL 1,000,000
4,000,000 X
GPL-1827979-03 5/5/2024 5/5/2025
4,000,000
C 2,000,000
X
X X
BAP-0147830-06 5/5/2024 5/5/2025
A X 10,000,000 X
SXS-1827981-03 5/5/2024 5/5/2025
10,000,000
C X
N
WC-0147831-06 5/5/2024 5/5/2025
1,000,000
1,000,000
1,000,000 B D
CONTRACTOR'S EQUIPMENT
CYBER LIABILITY
QT-660-8J93022A-TLC-24
C-4LRH-061959-CYBER-2024
5/5/2024 8/29/2024
5/5/2025 8/29/2025
See attached See attached
Name Insured Schedule:
Garner Environmental Services, Inc.
Rowdy Products and Supply, LLC K-Solv Wash Services, LLC Garner Tallahassee, LLC Ksolv Group, LLC
See Attached...
Arizona Department of Administration State Procurement Office 1802 W. Jackson, #100 Phoenix AZ 85007
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
GARNENV-01
1 2
Higginbotham Insurance Agency, Inc. Garner Environmental Services, Inc See Name Insured Schedule 952 Echo Lane, Suite 400 Houston TX 77024
25 CERTIFICATE OF LIABILITY INSURANCE
Coverage Continued:
Contractor's Equipment & Motor Truck Cargo Coverage Traveler's Lloyds Insurance Company Effective 05/05/2024-05/05/2025 Policy # QT6608J93022ATLC24 Scheduled Equipment $1,756,917 Leased & Rented $2,000,000 -Any One Item Flood $ 3,756,917 Earthquake $3,756,917 Cargo Limit $100,000 Any One Vehicle
The Contractor’s Equipment & Motor Truck Cargo policy includes a blanket waiver of subrogation endorsement to the certificate holder only when there is a written contract between the named insured and certificate holder that requires such status.
CONTRACTORS POLLUTION LIABILITY-Policy Number# GPL182797903-Steadfast Insurance Company Effective 05/05/2024 to 05/05/2025 Primary-Occurrence East Incident Limit: $2,000,000 Policy Aggregate Limit: $4,000,000 Deductible: $25,000
PROFESSIONAL LIABILITY:-Policy Number #-GPL182797903 Steadfast Insurance Company Effective 05/05/2024-05/05/2025 Primary-Claims Made Each Accident Limit $2,000,000 Aggregate Limit $4,000,000 Deductible: $25,000
CYBER LIABILITY:
Policy Effective Dates: 08/29/2024 - 08/29/2025 Insurer: Arch Specialty Insurance Company Policy No.: C-4LRH-061959-CYBER-2024 Limit: $3,000,000 Retroactive Date: Full prior acts coverage
GENERAL LIABILITY & POLLUTION:
The General Liability and Pollution policy includes a blanket additional insured status to the certificate holder only when there is a written insured contract between the insured and certificate holder that requires such status.
The General Liability and Pollution policy includes a blanket waiver of subrogation endorsement that provides this feature only when there is a written contract between the insured and the certificate holder that requires it. Waiver of Transfer of Rights of Recovery against Others To Us The General Liability and Pollution policy includes a primary and non-contributory provision only when there is a written contract between the insured and the certificate holder that requires such provision.
The General Liability and Pollution policy includes a blanket endorsement providing 30 days' notice of cancellation that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it, except 10 days of nonpayment of premium.
The Coverage Territory on the General Liability policy includes the Gulf of Mexico.
The General Liability policy includes Explosion, Collapse and Underground coverage.
COMMERCIAL AUTOMOBILE:
The Commercial Automobile policy includes a blanket additional insured endorsement that provides additional insured status to the certificate holder only when there is a written insured contract between the insured and certificate holder that requires such status.
The Commercial Automobile policy includes a primary and non-contributory provision only when there is a written contract between the insured and the certificate holder that requires such provision.
The Commercial Automobile policy includes a blanket waiver of subrogation endorsement that provides this feature only when there is a written contract between the insured and the certificate holder that requires it. Waiver of Transfer of Rights of Recovery Against Others To Us.
The Commercial Automobile policy includes Endorsement for Motor Carrier Policies of Insurance for Public Liability under Section 29 and 30 of the Motor Carrier Act of 1980. Form MCS-90
The Commercial Automobile policy includes an endorsement providing that 30 days' notice of cancellation that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it, except 10 days of nonpayment of premium.
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
GARNENV-01
2 2
Higginbotham Insurance Agency, Inc. Garner Environmental Services, Inc See Name Insured Schedule 952 Echo Lane, Suite 400 Houston TX 77024
25 CERTIFICATE OF LIABILITY INSURANCE
WORKERS COMPENSATION:
The Worker’s Compensation policy includes Alternate Employer, Waiver of Subrogation, US Longshore /Harbor Coverage, Outer Continental Shelf, Other State Coverage, Maritime Coverage and Voluntary Compensation Endorsements.
The Workers Compensation policy includes a blanket endorsement providing 30 days' notice of cancellation that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it, except 10 days of nonpayment of premium.
EXCESS LIABILITY:
The Excess Liability policy is follow form over the General Liability, Environmental Pollution Liability, Professional Liability, Auto Liability and Employers' Liability policies, except where provisions to the contrary appear herein, is subject to all of the conditions, agreements, exclusions, endorsements and limitations of and shall follow the underlying insurance in all respects.
RE: Solicitation Number: BPM006719 - Statewide Emergency Response Services and Solutions
Certificate Holder is complete to include: State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 01
(Ed. 4-84)
WC 00 03 01
(Ed. 4-84)
1984 National Council on Compensation Insurance.
ALTERNATE EMPLOYER ENDORSEMENT
This endorsement applies only with respect to bodily injury to your employees while in the course of special or temporary employment by the alternate employer in the state named in the Schedule. Part One (Workers Compensation Insurance) and Part Two (Employers Liability Insurance) will apply as though the alternate employer is insured.
Under Part One (Workers Compensation Insurance) we will reimburse the alternate employer for the benefits required by the workers compensation law if we are not permitted to pay the benefits directly to the persons entitled to them.
The insurance afforded by this endorsement is not intended to satisfy the alternate employer’s duty to secure its obligations under the workers compensation law. We will not file evidence of this insurance on behalf of the alternate employer with any government agency.
We will not ask any other insurer of the alternate employer to share with us a loss covered by this endorsement.
Premium will be charged for your employees while in the course of special or temporary employment by the alternate employer.
The policy may be canceled according to its terms without sending notice to the alternate employer.
Part Four (Your Duties If Injury Occurs) applies to you and the alternate employer. The alternate employer will recognize our right to defend under Parts One and Two and our right to inspect under Part Six.
Schedule
Alternate Employer Address State of Special or Temporary
Employment
ANY PERSON OR
ORGANIZATION TO WHOM OR
TO WHICH YOU ARE REQUIRED
TO ADD AS AN ALTERNATE
EMPLOYER IN A WRITTEN
CONTRACT OR WRITTEN
AGREEMENT EXECUTED PRIOR
TO LOSS, EXCEPT WHERE
SUCH CONTRACT OR
AGREEMENT IS PROHIBITED
BY LAW.
TX
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective Policy No. Endorsement No.
Insured GARNER ENVIRONMENTAL SERVICES, INC. Premium $ INCL.
Insurance Company ZURICH AMERICAN INSURANCE COMPANY
Countersigned By
5/1/2024 WC-0147831-06
WC 00 03 01 A
(Ed. 2-89) 1984, 1988 National Council on Compensation Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 01 A
(Ed. 2-89)
ALTERNATE EMPLOYER ENDORSEMENT
This endorsement applies only with respect to bodily injury to your employees while in the course of special or temporary employment by the alternate employer in the state named in Item 2 of the Schedule. Part One (Workers Compensation Insurance) and Part Two (Employers Liability Insurance) will apply as though the alternate employer is insured. If an entry is shown in Item 3 of the Schedule the insurance afforded by this endorsement applies only to work you perform under the contract or at the project named in the Schedule.
Under Part One (Workers Compensation Insurance) we will reimburse the alternate employer for the benefits required by the workers compensation law if we are not permitted to pay the benefits directly to the persons entitled to them.
The insurance afforded by this endorsement is not intended to satisfy the alternate employer's duty to secure its obligations under the workers compensation law. We will not file evidence of this insurance on behalf of the alternate employer with any government agency.
We will not ask any other insurer of the alternate employer to share with us a loss covered by this endorsement.
Premium will be charged for your employees while in the course of special or temporary employment by the alternate employer.
The policy may be canceled according to its terms without sending notice to the alternate employer.
Part Four (Your Duties If Injury Occurs) applies to you and the alternate employer. The alternate employer will recognize our right to defend under Parts One and Two and our right to inspect under Part Six.
Schedule
1. Alternate Employer
BLANKET BASIS AS ALLOWED BY STATE
Address
2. State of Special or Temporary Employment
LA, NY, WA, WY
3. Contract or Project
WC 00 03 13
(Ed. 4-84) 1983 National Council on Compensation Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN
CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE
ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS
POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION.
WC 00 01 06 A
(Ed. 4-92)
Copyright 1983, 1991 National Council on Compensation Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 01 06 A
(Ed. 4-92)
LONGSHORE AND HARBOR WORKERS’ COMPENSATION ACT COVERAGE ENDORSEMENT
This endorsement applies only to work subject to the Longshore and Harbor Workers’ Compensation Act in a state shown in the Schedule. The policy applies to that work as though that state were listed in Item 3.A. of the Information Page.
General Section C. Workers’ Compensation Law is replaced by the following:
C. Workers’ Compensation Law
Workers’ Compensation Law means the workers or workmen’s compensation law and occupational disease law of each state or territory named in Item 3.A. of the Information Page and the Longshore and Harbor Workers’ Compensation Act (33 USC Sections 901-950). It includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workmen’s compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits.
Part Two (Employers Liability Insurance), C. Exclusions., exclusion 8, does not apply to work subject to the Longshore and Harbor Workers’ Compensation Act.
This endorsement does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act.
Schedule
Longshore and Harbor Workers’ State Compensation Act Coverage Percentage
The rates for classifications with code numbers not followed by the letter "F" are rates for work not ordinarily subject to the Longshore and Harbor Workers’ Compensation Act. If this policy covers work under such classifications, and if the work is subject to the Longshore and Harbor Workers’ Compensation Act, those non-F classification rates will be increased by the Longshore and Harbor Workers’ Compensation Act Coverage Percentage shown in the Schedule.
WC 00 01 09 C
(Ed. 1-15) Copyright 2013 National Council on Compensation Insurance, Inc. All Rights Reserved.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 01 09 C
(Ed. 1-15)
OUTER CONTINENTAL SHELF LANDS ACT COVERAGE ENDORSEMENT
This endorsement applies only to the work described in Item 4 of the Information Page or in the Schedule as subject to the Outer Continental Shelf Lands Act. The policy will apply to that work as though the location shown in the Schedule were a state named in Item 3.A. of the Information Page.
General Section C. Workers Compensation Law is replaced by the following:
C. Workers Compensation Law
Workers Compensation Law means the workers or workmen’s compensation law and occupational disease law of each state or territory named in Item 3.A. of the Information Page and the Outer Continental Shelf Lands Act (43 U.S.C. Sections 1331 et seq.). It includes any amendments to those laws that are in effect during the policy period.
It does not include any other federal workers or workmen’s compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits.
Part Two (Employers Liability Insurance), C. Exclusions., exclusion 8, does not apply to work subject to the Outer Continental Shelf Lands Act.
Schedule
Description and Location of Work
IF ANY
Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'l Prem. Return Prem.
Named Insured and Mailing Address: Producer:
GARNER ENVIRONMENTAL SERVICES, INC.
952 ECHO LN
HOUSTON, TX 77024-2814
RSG SPECIALTY, LLC
820 GESSNER RD STE 1850
HOUSTON, TX 77024-4274
Additional Insured-Automatic-Owners, Lessees Or Contractors Coverage Part One-Commercial General Liability Coverage Part Two-Contractor's Pollution Liability
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
Environmental Services Package Policy
COVERAGE PART ONE-COMMERCIAL GENERAL LIABILITY
COVERAGE PART TWO-CONTRACTOR'S POLLUTION LIABILITY
1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a written contract or written agreement.
2. The insurance provided to the additional insured person(s) or organization(s) applies only to:
a. "Bodily injury”, “property damage” or "personal and advertising injury" under COVERAGE PART ONE- COMMERCIAL GENERAL LIABILITY, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY caused, in whole or in part, by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf;
and resulting directly from:
(a) Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or
(b) “Your work” completed as included in the "products-completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement; and/or
b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO - CONTRACTOR'S POLLUTION LIABILITY, caused, in whole or in part, by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf, and resulting directly from:
(a) "Covered operations" performed for the additional insured, which is the subject of the written contract or written agreement; or
X
X
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(b) "Completed operations" of the "covered operations" performed for the additional insured, which is the subject of the written contract or written agreement.
3. However, regardless of the provisions of paragraphs 1. and 2. above, the insurance afforded to such additional insured:
a. Only applies to the extent permitted by law; and
b. Will not be broader than that which you are required by the written contract or written agreement to provide to such additional insured.
4. With respect to the insurance afforded to the additional insured under this endorsement, the following is added to Section III – Limits Of Insurance and Deductible:
The most we will pay on behalf of the additional insured is the amount of insurance:
a. Required by the written contract or written agreement you have entered into with the additional insured; or
b. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations
5. The insurance provided to the additional insured person or organization does not apply to:
"Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including:
(1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and
(2) Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any architectural, engineering or surveying services.
6. The additional insured must see to it that:
a. We are notified as soon as practicable of an "occurrence", offense or “pollution event”, as applicable, that may result in a claim;
b. We receive written notice of a claim or "suit" as soon as practicable; and
c. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory.
7. For the coverage provided by this endorsement:
a. The following paragraph is added to Paragraph 8.a. Other Insurance, Conditions (Section V.) in the COMMON
COVERAGE PROVISIONS:
Primary and Noncontributory Insurance
This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that:
(1) The additional insured is a Named Insured under such other insurance; and
(2) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.
b. The following paragraph is added to Paragraph 8.b. Other Insurance, Conditions (Section V.) in the COMMON
COVERAGE PROVISIONS:
This insurance is excess over:
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Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis.
8. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.
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INTERNAL USE ONLY STF-ESP-MAN-010 (05/21)
Confidential \ Non Personal Data
In Rem Coverage Amendment
Additional – R etur n Premi um
Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add’l Prem. Return Prem.
Named Insured and Mailing Address: Producer:
GARNER ENVIRONMENTAL SERVICES, INC.
952 ECHO LN, SUITE 400
HOUSTON, TX 77024-28114
R-T SPECIALTY, LLC.
820 GESSNER RD, STE 1850
HOUSTON, TX 77024-4274
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part Products-Completed Operations Liability Coverage Part
This insurance applies to any “occurrence” that is otherwise covered by this policy, resulting in an action In Rem against any vessel owned, operated by or for, or chartered by the Named Insured will in all respects be treated in the same manner as though the action resulting therefrom were In Personam against the Named Insured.
5/5/2024 5/5/2025GPL-1827979-03
GARNER ENVIRONMENTAL SERVICES, INC.
952 ECHO LN
HOUSTON, TX 77024-2814
RSG SPECIALTY, LLC
820 GESSNER RD STE 1850
HOUSTON, TX 77024-4274
Contractual Liability - Railroads Coverage Part One - Commercial General Liability
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
Environmental Services Package Policy
In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions of the policy and with respect to COVERAGE PART ONE – COMMERCIAL GENERAL LIABILITY and the coverage provided by this endorsement that:
Schedule
Scheduled Railroad: Any locations as required by Written Contract
Contract #: TBD
Designated Job Site(s): Blanket as Required by Written Contract
With respect to operations performed for, or affecting, a Scheduled Railroad at a Designated Job Site shown in the Schedule above, the definition of "insured contract" in Definitions (Section VII.) in the COMMON COVERAGE PROVISIONS is deleted and replaced by the following:
"Insured Contract" means:
a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract";
b. A sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to your business (including an indemnification of a
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municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement.
Paragraph f. does not include that part of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or
(b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage;
(2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in Paragraph (1) above and supervisory, inspection, architectural or engineering activities.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.
Page of
STF-ESP-185-C CW (01/06)
2 2
Others – Blanket as Required by Contract Waiver of Transfer of Rights of Recovery Against
Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'l Prem. Return Prem.
Named Insured and Mailing Address: Producer:
GARNER ENVIRONMENTAL SERVICES, INC.
952 ECHO LN
HOUSTON, TX 77024-2814
RSG SPECIALTY, LLC
820 GESSNER RD STE 1850
HOUSTON, TX 77024-4274
[ ] COVERAGE PART ONE – COMMERCIAL GENERAL LIABILITY
[ ] COVERAGE PART TWO – CONTRACTOR’S POLLUTION LIABILITY
[ ] COVERAGE PART THREE – PROFESSIONAL LIABILITY
ITHIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
Environmental Services Package Policy
In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14.
Subrogation is amended by the addition of the following:
We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement.
X
X X
ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.
STF-ESP-248-A CW (04/10)
GPL-1827979-03 5/1/2024 5/1/2025
STF-ESP-MAN-1-A CW (04/21)
Endorsement # STF-ESP-MAN-1-A CW
Worldwide Territory
Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add’l Prem. Return Prem.
Named Insured and Mailing Address: Producer:
GARNER ENVIRONMENTAL SERVICES, INC.
952 ECHO LN, SUITE 400
HOUSTON, TX 77024-28114
R-T SPECIALTY, LLC.
820 GESSNER RD, STE 1850
HOUSTON, TX 77024-4274
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Environmental Services Package Policy
This endorsement modifies insurance provided under the following:
In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions of the policy that the following the following amendments shall apply but only with respect to the coverage provided by this endorsement only:
II. DEFINITIONS (Section VII.) shall be amended to add the following:
9. “Coverage territory” means anywhere in the world including the Gulf of Mexico, international waters or airspace, provided that for “claims," “losses," “damages” or “claims expense” other than that arising out of your product, your work, transportation or any non-owned location, the insured's responsibility to pay “claims," “losses," “damages” or “claims expense” is determined in a suit on the merits in the United States, its territories or possessions, Puerto Rico, or Canada, or is otherwise agreed to by us.
In no event shall this insurance be used as evidence of financial assurance in any jurisdiction outside the
United States of America.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.
GARNER ENVIRONMENTAL SERVICES, INC.
952 ECHO LN
HOUSTON, TX 77024-2814
RSG SPECIALTY, LLC
820 GESSNER RD STE 1850
HOUSTON, TX 77024-4274
Notice to Others of Cancellation, Nonrenewal Or Reduction of Insurance
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
Agribusiness Pollution Liability Insurance Policy - Claims Made and Reported Coverage
Commercial Umbrella Liability Policy
Commercial Umbrella Liability Policy – Claims Made and Reported Coverage
Contractor’s Pollution Liability Insurance Policy
Contractor’s Pollution Liability Insurance Policy - Claims Made and Reported Coverage
Environmental Cleanup and Liability Insurance Policy - Claims Made and Reported Coverage
Environmental Impairment Liability Insurance Policy - Claims Made and Reported Coverage
Environmental Services Package Policy
Excess Environmental Insurance Policy - Claims Made and Reported Coverage
Follow Form Excess Liability Policy
Follow Form Excess Liability Policy – Claims Made and Reported Coverage
Healthcare Pollution Liability Insurance Policy - Claims Made and Reported Coverage
Lender Environmental Collateral Protection and Liability Insurance Outstanding Loan Balance - Claims Made and Reported Coverage
Lender Environmental Collateral Protection and Liability Insurance Policy – Claims Made and Reported Coverage
Lender Environmental Collateral Protection and Liability Insurance Policy – Capital Markets - Claims Made and Reported Coverage
Professional Consultant’s Liability Insurance Policy - Claims Made and Reported Coverage
Professional Environmental Consultant’s Liability Insurance Policy
Professional Environmental Consultant’s Liability Insurance Policy - Claims Made and Reported Coverage
Public Entity Pollution Liability - Claims Made and Reported Coverage
Real Estate Environmental Liability Insurance Policy - Claims Made and Reported Coverage
Fixed Price Remediation Insurance
Z Choice® Real Estate Environmental Liability - Claims Made and Reported Coverage
Z Choice® Pollution Liability - Claims Made and Reported Coverage
Z Link® Commercial General and Pollution Liability
STF-ENVL-1635-A CW (12/10)
SCHEDULE
Name and Address of Other Person(s)/ Number of Days Notice:Organization(s):
A. If we cancel or non-renew this policy by written notice to the first Named Insured shown in the Declarations for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal:
1. To the name and address corresponding to each person or organization shown in the Schedule below; and
2. At least 10 days prior to the effective date of the cancellation or non-renewal, as advised in our notice to the first Named Insured shown in the Declarations, or the longer number of days notice if indicated in the Schedule below.
B. If we cancel this policy by written notice to the first Named Insured shown in the Declarations for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation.
C. If coverage afforded by this policy is reduced or restricted, we will mail or deliver notice of such reduction or restricti on:
1. To the name and address corresponding to each person or organization shown in the Schedule below; and
2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if indicated in the Schedule below.
For the purposes of this endorsement only, a reduction or restriction means:
1) a change in the "policy period";
2) an addition or deletion of a Coverage Section; or
3) a reduction of the amount of Limits of Liability or Limits of Insurance, as applicable, which reduction is not the result of payment of "damages", "claim expenses" or "loss", or an increase or reduction of the amount of Deductibles, which reduction is not the result of payment of "damages" , "claims expense" or "loss", or which increase is not the result of recoupment of payment of "damages", "claims expense" or "loss" through subrogation or otherwise.
D. If notice as described in Paragraphs A., B. or C. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice.
Blanket as Required by Written Contract 30
ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.
STF-ENVL-1635-A CW (12/10)
POLICY NUMBER: BAP 0147830-06 COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: GARNER ENVIRONMENTAL SERVICES, INC.
Endorsement Effective Date: 05/05/2024
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR
AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS,
THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.
COMMERCIAL AUTO
CA 04 49 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
A. The following is added to the Other Insurance
Condition in the Business Auto Coverage Form and the Other Insurance – Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary:
This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:
1. Such "insured" is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".
B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary:
This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:
1. Such "insured" is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".
COMMERCIAL AUTO
CA 99 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 99 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
POLLUTION LIABILITY – BROADENED COVERAGE
FOR COVERED AUTOS – BUSINESS AUTO AND
MOTOR CARRIER COVERAGE FORMS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
A. Covered Autos Liability Coverage is changed as follows:
1. Paragraph a. of the Pollution Exclusion applies only to liability assumed under a contract or agreement.
2. With respect to the coverage afforded by Paragraph A.1. above, Exclusion B.6. Care, Custody Or Control does not apply.
B. Changes In Definitions For the purposes of this endorsement, Paragraph D. of the Definitions Section is replaced by the following:
D. "Covered pollution cost or expense" means any cost or expense arising out of:
1. Any request, demand, order or statutory or regulatory requirement that any "insured" or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants"; or
2. Any claim or "suit" by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to or assessing the effects of "pollutants".
"Covered pollution cost or expense" does not include any cost or expense arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants":
a. Before the "pollutants" or any property in which the "pollutants" are contained are moved from the place where they are accepted by the "insured" for movement into or onto the covered "auto"; or
b. After the "pollutants" or any property in which the "pollutants" are contained are moved from the covered "auto" to the place where they are finally delivered, disposed of or abandoned by the "insured".
Paragraphs a. and b. above do not apply to "accidents" that occur away from premises owned by or rented to an "insured" with respect to "pollutants" not in or upon a covered "auto" if:
(1) The "pollutants" or any property in which the "pollutants" are contained are upset, overturned or damaged as a result of the maintenance or use of a covered "auto"; and
(2) The discharge, dispersal, seepage, migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage.
POLICY NUMBER: BAP-0147830-06
POLICY NUMBER: COMMERCIAL AUTO
CA 20 01 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 20 01 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 2
LESSOR – ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: GARNER ENVIRONMENTAL SERVICES, INC.
Endorsement Effective Date:
SCHEDULE
Insurance Company: ZURICH AMERICAN INSURANCE COMPANY
Policy Number: Effective Date:
Expiration Date:
Named Insured: GARNER ENVIRONMENTAL SERVICES, INC.
Address: 952 ECHO LN STE 400
HOUSTON, TX 77024
Additional Insured (Lessor):
Address:
ALL LESSORS
Designation Or Description Of “Leased Autos”:
ALL LEASED AUTOS
5/1/2024
BAP-0147830-06 5/1/2024
5/1/2025
BAP-0147830-06
Page 2 of 2 © Insurance Services Office, Inc., 2011 CA 20 01 10 13
Coverages Limit Of Insurance Covered Autos Liability Each “Accident”
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Deductible For Each Covered “Leased Auto”Comprehensive
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Deductible For Each Covered “Leased Auto”Collision
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Deductible For Each Covered “Leased Auto”Specified
Causes Of Loss
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Coverage
1. Any “leased auto” designated or described in the Schedule will be considered a covered “auto” you own and not a covered “auto” you hire or borrow.
2. For a “leased auto” designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an “insured” the lessor named in the Schedule. However, the lessor is an “insured” only for “bodily injury” or “property damage” resulting from the acts or omissions by:
a. You;
b. Any of your “employees” or agents; or
c. Any person, except the lessor or any
“employee” or agent of the lessor, operating a “leased auto” with the permission of any of the above.
3. The coverages provided under this endorsement apply to any “leased auto” described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the “leased auto”, whichever occurs first.
B. Loss Payable Clause
1. We will pay, as interest may appear, you and the lessor named in this endorsement for “loss” to a “leased auto”.
2. The insurance covers the interest of the lessor unless the “loss” results from fraudulent acts or omissions on your part.
3. If we make any payment to the lessor, we will obtain his or her rights against any other party.
C. Cancellation
1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition.
2. If you cancel the policy, we will mail notice to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your premiums.
E. Additional Definition
As used in this endorsement:
“Leased auto” means an “auto” leased or rented to you, including any substitute, replacement or extra “auto” needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor.
Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add’l Prem. Return Prem.
$ INCL $
U-CA-812-A CW (05/10)
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Notification to Others of Cancellation
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial Automobile Coverage Part
A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation:
1. To the name and address corresponding to each person or organization shown in the Schedule below; and
2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below.
B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation.
C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice.
SCHEDULE
Name and Address of Other Person(s) / Organization(s): Number of Days Notice:
AS REQUIRED BY WRITTEN CONTRACT/PER SCHEDULE ON FILE WITH US
All other terms and conditions of this policy remain unchanged.
BAP-0147830-06 5/1/2024 5/1/2025
File details come from the government source that posted it. Updated .