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CERTIFICATE OF LIABILITY INSURANCE - 14-0025-UT ACC>RfX CERTIFICATE OF LIABILITY IINSU"NCE DATE(MMXDDNYYY) 6*� 12/11/202 12/10112020 THIS CERTIFICATE IS ISSUED A$A MATTER OF INFORMATION ONLY AND COINPERS 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 OFINSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. if the certificate holder Is an ADDITIONAL INSURED,the pollcyhes)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 art endorsernerit. A statement on this certificate does not confer rights to the certificate holder In lieu of such:endorsement(s), PRODUCER Lackton Comines Houston CONTACT NAME� 3657 BRIARIARK DRiVE,SUTE 70,0 H N NoN ,Ext�: I I .N.), TX 77042 E-MAIIL 866-260,-3538 ADDRESS; INIZI 1PIP0,M1 INSURER A. /mridi American Inswaner Conlilany 1(535, 1 INSURED ViOrtex",ervices.LLC INSURER B: American Guararace a,rid Urd),lus,("0, 26,247 15,14M 1406282 FIKIA Vacftbn Environmental,LLC INSURER C-, Crum&,ForstOr,SaciajtN,Insmene)e(,,o (See Atlached Named Insured SOedule) 4 4 524) 18150 Im rW Valay D�r. INfigull 2; Houston r�X.77060 INIVRER K,� INSURER F: COVERAGES tvieree CERTU:i�A,TE NUMBER: 15108613 REVISION RR XX'XXXXX THFS IS TO C ERTIFY THAT THE POLICIES OF IN LiSTED BELOW FIAVE SEM-N_6SUED To I-FIE INSURED NAMED ABOVE FOR CI IF POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENTWff[4 RESPECT TO WHICHTHIS 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, SR ADDL Pli EF POLICYEX TYPE OF INSURANCE INSD SIX I POLICYNUMBER I M I Minxxi MQ90% LI)MITS 7'L"'Y PF"� T Fit, x COMiMERCIA T CLAW& 'A C L GENERAL LIABILITY y y GL,055�9723602 12111(2020 1111/2021 EACH,000URRENCE MADF[K]OCCUR A E J0 R' Fly 300000 MEDEXP(Anyoneparson) 5,000 PERSONAL&ADV$NJURY t 1 0001,000 G54-LAC,G,RF(�AIF I IMITAPPLIE.,%1',"ER 2 GENERALAGGREGAI'E 2,000,0001 POI�CYL_] T D r,oc "R4',OLICTS-GOMPIOP ACC f210100,000 EOTHER A AUTOMOBILE LIABILITY Y y BAP 5597237-02 12/H,x2020 12,1111/202 q COMBINED LIMIT 2... 900 ANY AIJI 0 BODILY INJURY(Pot persan $ XXXXXXX OW"ESC,HEP,UtED AUTO,ONLY Atrro, BODILY INJURY II er aoddevir 5 XXXXXXX WIRED NON1,OWNE:1D RA=Pr7rVDAMA(.,E AUTIDS ONLY AUTOS ONLY �Per accidernj $ Xxxxxxx x Xxx UMBRELLA LIAB NX0 CCC Wil 'Y N� SXS 73565401 00 Q/H/2020 12,111/202t EACH OCCURRENCE S 5,000,1(001 X EXCESS LIAR I AIIa IIALwI, AGGREGATE S i00,0010 DED RETE N11061 --- ---------- ------------- xxxxxxx A WORKERS COMPENSATION YIP WC 16l671)7-02 12111/2021) 12111/2021 X AND EMPLOYERV LiASILITY Y IN LawC XIVE WA L EACH ACC 10tNT 1100101000 mar"RexpOrDED1 0 Iran r NH) E L DISEASE.EA LMPLOmE Is 1,000,000 If I I NE L IASeASE-POLICY LIMAI T It 1,000,0001 Cpwractors y y PK(",,i 10534 111112020 1201/2021 R75CRN'7TION OF OPERATIONS I LOCA IONS r VEHICLES N%,CORG 101,Additional Remarks Scheduie,may be attached if more space is required) Contractors Pollution Deductible $25,000 cacil pcfflu� on c(,)P(fificm e�RProJm w ante 20 13-20 1,4 Sandra)d �Sw eo-mId Manhole Rebabililation Piqjecl #l40(J2S-L3TI CERTIFICATE HO,LDIR CAINCELLATIONSee Attachtnents 1,p SHOULD A04Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE W(J. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 1510,8613 AUTHORIZED REPRESENTATIVE cily of cleawlpr EngineerIngDepartme,nl i.%/Tlearwateir 10, S,Myrtle Av&iue I 'artmient arwater FL 33756-0000 ACORD 26(2016103) @1988-2015 ACORD CORP`6RATj .All rights reserved The ACORD narne and logo are registered marks of ACORID Miscellaneous Attachment : M529788 Master ID: 1406282, Certificate ID: 15108613 All policies (except Workers' Compensation/EL) include a blanket automatic additional insured [provision] that confers additional insured status to the certificate holder only if there is a written contract between the named insured and the certificate holder that requires the named insured to name the certificate holder as an additional insured. In the absence of such a contractual obligation on the part of the named insured, the certificate holder is not an additional insured under the policy. All policies include a blanket automatic waiver of subrogation endorsement [provision] that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. In the absence of such a contractual obligation on the part of the named insured, the waiver of subrogation feature does not apply. All policies (except Workers' Compensation/EL) contain a special endorsement with "Primary and Noncontributory" wording. Attachment Code: D541833 Master ID: 1406282, Certificate ID. 151086I3 VORTEX NAMED INSUREDS Vortex Infrastructure Holdco, LLC Vortex Companies, LLC Vortex Services, LLC Vortex Infrastructure Services, LLC Vortex Infrastructure Products, LLC Vortex Infrastructure Holdings, LLC Vortex Technology Group, LLC Vaught Services, LLC Vortex Turnkey Solutions, LLC Quadex Lining Systems, LLC Vortex West, LLC - - ---- - - - - - Vortex Industrial Solutions, LLC Ricor Services, LLC VacVision Environmental, LLC Quadex Acquisition, LLC Quadex, LLC Schwalm USA, LLC Shoptrenchless.com LLC Vortex Companies International, LLC Quadex International, LLC Vaught Holdings, LLC Stag Acquisition, LLC AquaPura, LLC Midas South Central Pipe Robotec Midas Flow Controls -South Central, LLC Ted Berry Company, LLC Clear Drain of Main LLC Ted Berry Trenchless Technology Team LLC Vortex Services, LLC F/K/A VacVision Environmental, LLC