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2023-06-06_GENERAL DOCUMENTS - C1981022
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2023-06-06_GENERAL DOCUMENTS - C1981022
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Last modified
6/6/2023 8:53:48 PM
Creation date
6/6/2023 10:25:35 AM
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Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
6/6/2023
Doc Name
Certificate of Insurance
From
Aon Risk Services Southwest Inc
To
DRMS
Email Name
LDS
AME
Media Type
D
Archive
No
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AGENCY CUSTOMER ID: 570000083411 <br /> LOC#: <br /> A� 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: 570099642675 <br /> CARRIER NAIC CODE <br /> See Certificate Number: 570099642675 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 6.1.23 - 6.1.24 <br /> carrier: Westchester Fire Insurance Company <br /> Policy NO: G71808270004 <br /> Participation: $10M xs $15M <br /> Carrier: Westfield specialty Insurance company <br /> Policy No: XSL328505000 <br /> Participation: $15M xs $25m <br /> Carrier: Endurance American Specialty Insurance Company (Non-Admitted) <br /> Policy NO: ELD30007048702 <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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