3-Certificate of Insurance_Lemoine CDR Logistics, LLC_25-26.pdf

PDF 99 KB Posted

Attached to
Master Agreement AZ|CTR077089
Contract number
CTR077089
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for Lemoine CDR Logistics, LLC, located in Tallahassee, Florida. The certificate is issued by Alliant Insurance Services, Inc. and covers insurance policies from two primary insurers: Starr Indemnity & Liability Co (NAIC #38318) and Homesite Insurance Company. The certificate is dated 5/1/2025 and provides evidence of various insurance coverages.

The insurance certificate outlines three primary coverage types: Commercial General Liability (with a $1,000,000 per occurrence limit and $2,000,000 aggregate limit), Automobile Liability (covering any auto), and Umbrella/Excess Liability (with a $5,000,000 occurrence and aggregate limit). Additionally, Workers' Compensation and Employers' Liability insurance is included, with statutory coverage limits of $1,000,000 for each accident, disease per employee, and disease policy limit. The policies are effective from 5/1/2025 to 5/1/2026, providing comprehensive insurance protection for the business operations of Lemoine CDR Logistics, LLC.

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Text version

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

5/1/2025

Alliant Insurance Services, Inc.

1125 Sanctuary Pkwy.

Alpharetta GA 30009

Joni Chandler joni.chandler@alliant.com

License#: 0C36861 Starr Indemnity & Liability Co 38318 CDRMAGU-01 Homesite Insurance Company of 11156

Lemoine CDR Logistics, LLC 313 Norton Drive Tallahassee FL 32308

561528458

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

10,000

1,000,000

2,000,000 X X

1000025958251 5/1/2025 5/1/2026

2,000,000

A 1,000,000

X 1000672959251 5/1/2025 5/1/2026

B X 5,000,000 X

CXP-050478-00 5/1/2025 5/1/2026

5,000,000 X None

A X

N

1000004970 5/1/2025 5/1/2026

1,000,000

1,000,000

1,000,000

For Evidence

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