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2022-06-01_GENERAL DOCUMENTS - C1983059
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2022-06-01_GENERAL DOCUMENTS - C1983059
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Last modified
12/28/2024 7:07:40 PM
Creation date
6/2/2022 10:32:41 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1983059
IBM Index Class Name
General Documents
Doc Date
6/1/2022
Doc Name
Certificate of Insurance
From
Aon Risk Services SW
To
DRMS
Email Name
LDS
JDM
Media Type
D
Archive
No
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AGENCY CUSTOMER ID: 570000083411 <br /> LOC#: <br /> Atft�_ ADDITIONAL REMARKS SCHEDULE Page _ of _ <br /> AGENCY NAMEDINSURED <br /> Aon Risk Services southwest, Inc. oxbow Energy Solutions LLC <br /> POLICY NUMBER <br /> see Certificate Number: 570093186854 <br /> CARRIER NAIC CODE <br /> See certificate Number: 570093186854 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 /> Excess Liability 6.1.22 - 6.1.23 <br /> Carrier: Westchester Fire Insurance company <br /> Policy NO: G71808270003 <br /> Participation: $10m xs $15M <br /> Carrier: ACE Property and casualty Insurance Company <br /> Policy NO: XCQG28122949007 <br /> Participation: $15M xs $25m <br /> Carrier: Endurance American Specialty insurance Company (Non-Admitted) <br /> Policy NO: ELD30007048701 <br /> Participation: $10M xs $40M <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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