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2016-06-13_GENERAL DOCUMENTS - C1983059 (3)
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2016-06-13_GENERAL DOCUMENTS - C1983059 (3)
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Last modified
8/24/2016 6:23:26 PM
Creation date
6/14/2016 6:54:03 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1983059
IBM Index Class Name
General Documents
Doc Date
6/13/2016
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JDM
DIH
Media Type
D
Archive
No
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AGENCY CUSTOMER ID: 570000036509 <br />LOC #: <br />A� ADDITIONAL REMARKS SCHEDULE <br />Page _ of _ <br />AGENCY <br />Aon Risk Services, Inc of Florida <br />NAMED INSURED <br />Oxbow Energy Solutions LLC <br />POLICY NUMBER <br />see Certificate Number: 570062334231 <br />CARRIER <br />See Certificate Number: 570062334231 <br />NAIC CODE <br />EFFECTIVE DATE <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER <br />TYPE OF INSURANCE <br />INSURER <br />SUBR <br />WVD <br />INSURER <br />POLICY <br />EFFECTIVE <br />DATE <br />MM/DD/YYYY <br />INSURER <br />LIMITS <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br />INSR <br />LT <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />MM/DD/YYYY <br />POLICY <br />EXPIRATION <br />DATE <br />MM/DD/YYYY <br />LIMITS <br />EXCESS LIABILITY <br />C <br />628122949001 <br />25m xs 25m <br />06/01/2016 <br />06/01/2017 <br />Aggregate <br />$25,000,000 <br />Each <br />Occurrence <br />$25,000,000 <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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