Engineered Solutions of Georgia
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
7/22/2025
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.
NAME: CONTACT
CSU Construction 630-468-5600
PRODUCER
Hub International Midwest Limited 1411 Opus Place Suite 450 Downers Grove IL 60515
(A/C, No): FAX
(A/C, No, Ext): PHONE
630-468-5696
E-MAIL ADDRESS:
CSUConstruction@hubinternational.com
INSURER(S) AFFORDING COVERAGE
NAIC # 14621 19489 39993 15137 14621
Motorists Mutual Insurance Company Allied World Assurance Co Inc Colony Insurance Company PinnaclePoint Insurance Company Motorists Commercial Mutual
INSURER A :
USWATER-09
INSURED
INSURER B :
Engineered Solutions of Georgia, LLC 4500 Highlands Parkway SE Smyrna GA 30082
INSURER C :
INSURER D :
INSURER E :
INSURER F :
1747336055
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
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.
ADDL INSD
SUBR WVD
(MM/DD/YYYY) POLICY EFF
(MM/DD/YYYY) POLICY EXP
LTR INSR
TYPE OF INSURANCE
LIMITS
POLICY NUMBER
X
5000756679
5/19/2025 5/19/2026
A
COMMERCIAL GENERAL LIABILITY
1,000,000
EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence)
$
X
100,000 5,000
CLAIMS-MADE
OCCUR
$
MED EXP (Any one person)
$
1,000,000 2,000,000 2,000,000
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
X
PRO JECT
POLICY
LOC
PRODUCTS - COMP/OP AGG
$
$
OTHER:
COMBINED SINGLE LIMIT
1,000,000
5000756679
5/19/2025 5/19/2026
A
$
OWNED ANY AUTO AUTOMOBILE LIABILITY X
(Ea accident)
BODILY INJURY (Per person)
$
AUTOS ONLY NON-OWNED SCHEDULED AUTOS
PROPERTY DAMAGE BODILY INJURY (Per accident)
$
AUTOS ONLY HIRED AUTOS ONLY
X
X
$
(Per accident)
$
X
X
5000756723
5/19/2025 5/19/2026
E
UMBRELLA LIAB
5,000,000 5,000,000
EACH OCCURRENCE
$
OCCUR CLAIMS-MADE
EXCESS LIAB
AGGREGATE
$
$
DED
RETENTION $
STATUTE PER
ER OTH
X
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
WCP7003257
5/19/2025 5/19/2026
D
Y / N
1,000,000 1,000,000 1,000,000 $4M / $2M $5,000,000
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
N
N / A
OFFICER/MEMBER EXCLUDED? (Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$
DESCRIPTION OF OPERATIONS below If yes, describe under
E.L. DISEASE - POLICY LIMIT
$
0311-3396 EXO4282173
5/19/2025 7/19/2025
5/19/2026 5/19/2026
B C
Pollution Liability Excess Liability ($5M X $5M)
Agg / Each Occur Limit:
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Proof of Insurance
AUTHORIZED REPRESENTATIVE
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ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
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