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)

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