Attachment_-_Supplement_Insurance_Water_Finance_Assistance.pdf

PDF 490 KB Posted

Attached to
Master Agreement AZ|CTR074234
Contract number
CTR074234
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by The Hartford for Water Finance Assistance LLC, located in Graham, NC. The insurance package includes multiple policies from insurers such as Twin City Fire Insurance Company, Trumbull Insurance Company, and Landmark American Insurance Co, with Nutmeg Insurance Agency acting as the producer. The certificate is dated September 4, 2024, and covers various insurance types including Commercial General Liability, Automobile Liability, Workers' Compensation, and Professional Liability.

The insurance policies provide comprehensive coverage with specific limits: Commercial General Liability and Automobile Liability both have a $1,000,000 per occurrence limit, with aggregate limits of $2,000,000. The Workers' Compensation policy covers employer's liability with limits of $100,000 per accident and $500,000 policy limit. The Professional Liability policy offers $1,000,000 per claim and a $2,000,000 aggregate limit. The policies are effective from various dates in 2024, with most expiring in 2025. Water Finance Assistance is currently working to increase their Professional Liability coverage from $1,000,000 to $2,000,000 to meet potential contract requirements, demonstrating their commitment to maintaining appropriate insurance levels.

View the file

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Text version

WLTR005

THE HARTFORD

BUSINESS SERVICE CENTER

3600 WISEMAN BLVD

SAN ANTONIO TX 78251 September 4, 2024

For Informational Purposes

209 FOREST DR

GRAHAM NC 27253-4403

Account Information:

Policy Holder Details : Water Finance Assistance LLC Contact Us

Need Help?

Chat online or call us at

(866) 467-8730.

We're here Monday - Friday.

Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns.

Sincerely, Your Hartford Service Team

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

09/04/2024 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.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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).

PRODUCER

NUTMEG INS AGENCY INC/PHS

76210775 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251

CONTACT

NAME:

PHONE

(A/C, No, Ext):

(888) 925-3137 FAX

(A/C, No):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC#

INSURED

Water Finance Assistance LLC

209 FOREST DR

GRAHAM NC 27253-4403

INSURER A : Twin City Fire Insurance Company 29459 INSURER B : Trumbull Insurance Company 27120 INSURER C : Landmark American Insurance Co 33138

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

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.

INSR

LTR

TYPE OF INSURANCE ADDL

INSR

SUBR

WVD

POLICY NUMBER POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/Y YYY)

LIMITS

A

COMMERCIAL GENERAL LIABILITY

76 SBU BE6426 04/10/2024 04/10/2025

EACH OCCURRENCE $1,000,000

CLAIMS-MADE X OCCUR DAMAGE TO RENTED

PREMISES (Ea occurrence) $1,000,000

X General Liability MED EXP (Any one person) $10,000

PERSONAL & ADV INJURY $1,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000

POLICY PRO-

JECT X LOC PRODUCTS - COMP/OP AGG $2,000,000

OTHER:

A

AUTOMOBILE LIABILITY

76 SBU BE6426 04/10/2024 04/10/2025

COMBINED SINGLE LIMIT

(Ea accident)

$1,000,000 ANY AUTO BODILY INJURY (Per person)

ALL OWNED

AUTOS

SCHEDULED

AUTOS BODILY INJURY (Per accident)

X HIRED

AUTOS X NON-OWNED

AUTOS

PROPERTY DAMAGE

(Per accident)

UMBRELLA LIAB

EXCESS LIAB

OCCUR

CLAIMS-

MADE

EACH OCCURRENCE

AGGREGATE

DED RETENTION $

B

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY

PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

N/ A 76 WBG AD8J5A 08/20/2024 08/20/2025

X PER

STATUTE

OTH-

ER

Y/N E.L. EACH ACCIDENT $100,000

E.L. DISEASE -EA EMPLOYEE $100,000

E.L. DISEASE - POLICY LIMIT $500,000

C Professional Liability LHR860539 08/29/2024 08/09/2025 Each Claim Limit Aggregate Limit

$1,000,000 $2,000,000

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

Those usual to the Insured's Operations.

CERTIFICATE HOLDER CANCELLATION

For Informational Purposes

209 FOREST DR

GRAHAM NC 27253-4403

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED

IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

BlkLtrPol

September 4, 2024

WATER FINANCE ASSISTANCE LLC

Policy Information:

Policy Number: 76 WBG AD8J5A

Additional Information:

Policy Type: Workers' Compensation

Contact Us Visit https://business.thehartford.com 24/7 access to pay bills, view policy documents, get your certificate of insurance and more.

Need Help? Chat online or call us at (888) 925-3137. We're here Monday - Friday.

Dear Glenn Barnes, Thank you on behalf of NUTMEG INS AGENCY INC/PHS and The Hartford for allowing us to serve your business insurance needs. If you have any questions, please contact us Monday through Friday.

Upon your request, The Hartford will expeditiously increase the Employer’s Liability Limits on the specified Policy to $1,000,000/$1,000,000/$1,000,000.

Sincerely, Roxanne Garza cc: NUTMEG INS AGENCY INC/PHS / 76210775

Water Finance Assistance has liability insurance coverage that meets or exceeds the requirements of this contract in almost every area. We have received a letter from our insurance company stating that our Workers Compensation insurance can be increased to the mandatory levels if we receive this contract.

We have been working with our liability insurance company to increase the final requirement, for Professional Liability (Errors and Omissions Liability). We currently have $1,000,000 for each claim, and the minimum requirement is $2,000,000 for each claim.

This Professional Liability is offered through a third party by our liability insurance company. They have been in touch with the third party, and that party is still in the process of approving the increase as of this submittal. They operate on their own timeline and could not approve the change in time for this submittal.

This letter acknowledges that we are needing to increase that one requirement if we are awarded the contract and have taken steps to get that process started. Please contact us with any questions.

Glenn Barnes Director Water Finance Assistance 617-388-4404 glenn@waterfinanceassistance.com mailto:glenn@waterfinanceassistance.com

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