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TRUSTAR ENERGY LLC
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Last modified
9/24/2021 2:44:29 PM
Creation date
9/24/2021 2:42:59 PM
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Contracts
Company Name
TRUSTAR ENERGY LLC
Contract #
A-2021-147
Agency
Public Works
Council Approval Date
8/17/2021
Expiration Date
8/16/2022
Insurance Exp Date
6/2/2022
Destruction Year
2027
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CRUM & FORSTER <br />CRUM & FORSTER SPECIALTY INSURANCE COMPANY <br />305 Madison Avenue, Morristown NJ 07962 <br />ENVIRONMENTAL POLICY DECLARATIONS <br />POLICY NUMBER: RENEWAL OF: DATE ISSUED: <br />EPK-135707 I EPK-131273 1 6/10/2021 <br />Item 1. <br />NAMED INSURED & ADDRESS: <br />Truster Energy, LLC <br />10225 Philadelphia Court <br />Roncho Cucomngo, cA 91730 <br />PRODUCER NAME & ADDRESS: <br />R-TSpeciolty, LLC <br />500 West Monroe, 30th Floor <br />Chimgo, IL 60661 <br />FORM OF BUSINESS: Limited Liability Company <br />PRODUCER CODE: 00805 <br />Iten, 2. <br />POLICY PERIOD: <br />06/02/2021 to 06/02/2022 <br />12:01 a standard TIM at Me Named Imured's address stated above. <br />Item 3. <br />LIMITS OF INSURANCE: <br />General Aggregate Limit Other than Products Com leted Operations): <br />$2,000,000 <br />Products/Completed Operations Aggregate Limit: <br />$2 000000 <br />Personal &Advertising Injury Limit: <br />$1000000 <br />Commercial General Liability Each Occurrence Limit: <br />$1,000,000 <br />Damage To Premises Rented To You Limit: <br />$100,000 <br />Medical Expense Limit: <br />$5000 <br />Contractor's Pollution Liability Each Pollution Condition Limit: <br />$1,000,000 <br />Errors & Omissions Liability Each Wrongful Act Limit: <br />$1,000,000 <br />Third Party Pollution Liability Each Pollution Condition Limit: <br />$1,000,000 <br />Onsite Cleanup Each Pollution Condition Limit: <br />$1,000,000 <br />Item 4. <br />DEDUCTIBLE/SELF-INSURED RETENTION: See Deductible Schedule Endorsement EN0009 <br />Item 5, <br />RETROACTIVE DATES: <br />Errors & Omissions Liability12/3L/2212 <br />Third Pa Pollution Liability <br />See EN0615 <br />Onsite Cleanup <br />See EN0615 <br />Item 6. <br />PREMIUM: Surplus Lines Ta% Stamping Office Fee <br />Policy Premium: <br />TRIPRA Premium: <br />Excluded <br />Total Policy Premium: <br />_ _ <br />25% <br />Minimum Earned Premium: <br />Minimum Policy Premium: <br />100% <br />Item 7. <br />AUDIT PERIOD: Annual Basis: Gross Revenu, _ Per 1,000 <br />Item 6. <br />FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY: <br />See Form EN0002 —Schedule Of Forms And Endorsements <br />THESE DECLARATIONS, I we I HtK WI Ill FULILY JAL KET, FORMS, SCHEDULES AND ENDORSEMENTS, IF ANY, ARE ISSUED AS PART OF AND IN <br />COMPLETION OF THE ABOVE NUMBERED POLICY. <br />This Insurance Is Issued pursuant to the CA Insurance Code, <br />Sections 1760 through 1760, and Is Placed In an Insurer or <br />Insurers not holding a Certificate of AuAhorby from W regulated <br />by the CalMomla Insurance Commissloner. <br />EN0001.1014 <br />Countersigned By: Risk MaregentndDki m <br />R6MexED 6 pAgmovED BY: <br />AUMoriad a '��: Ruk Management Analyst? <br />
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