COI_EXP.2025-06-01.CAuWPol_-Native_Environpdf.pdf

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

1,000,000

750903546

750903546

2435 E University Dr

Arizona Department of Environmental Quality Contracts and Procurement

X

X mtyson@ucwinsurance.com

100,000

25445

17370

1,000,000

25224

10885

X

5,000,000

Re: Contract No. CTR065800 / Asbestos and Lead Consultant and Abatement Services

X

1-866-829-4368

X employees are added as additional insureds with respect to the Commercial General Liability, Contractors Pollution The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and

Environmental. The coverage provided the additional insured shall be primary and not contributing with any other Liability and Auto Liability for liability arising out of the activities performed by or on behalf of Native agreement. A waiver of subrogation is added to the Commercial General Liability, Contractors Pollution Liability, insurance available to those person(s) or organization(s) with which the Insured has so agreed in a written contract or

06/01/25

Contract No. CTR065800

USA

X

06/01/25

Native Environmental, LLC

XSCUW0015197901

WCA1510776-25

06/01/24

866-829-4369

X

1,000,000

06/01/25X

X mtyson

X

06/01/24

2,000,000

Professional Liability

X

Phoenix, AZ 85007-2935

PO Box 31644

5,000Contractors Pollution

Key Risk Ins Co (AM Best Rating: A+)

Great Divide Ins Co (AM Best Rating: A+)

Nautilus Ins Co (AM Best Rating: A+)

Ironshore Specialty Ins Co (AM Best

2,000,000

1,000,000

06/01/24

BAP2014907-19

X

X

06/01/24

Phoenix, AZ 85034 USA

Y

Melanie Tyson

D

866-829-4368

C

A ECPO1511066-25

1,000,000B

05/31/2024

X

X

5,000,000

LIC #124221

1,000,000

1110 W. Washington Street

Mesa, AZ 85275-1644 USA

06/01/25

UCW Insurance Agency, Inc.

X

SUPP (05/04)

SUPPLEMENT TO CERTIFICATE OF INSURANCE

DATE

NAME OF INSURED:

Additional Description of Operations/Remarks from Page 1:

Additional Information:

Native Environmental, LLC

Holder.

Native Environmental or Broker will provide 30 days notice of such cancellation or non-renewal to the Certificate

If the insurance company elects to cancel or non-renew coverage for any reason other than nonpayment of premium, Auto Liability and Workers Compensation in favor of the additional insureds.

05/31/2024