Contract requirements

  • Commercial general liability$2,000,000 each occurrence, $2,000,000 aggregate
  • Additional insuredBrightwater Holdings, Inc., on general liability and auto
  • Automobile liability$1,000,000 combined single limit, in force for the contract term
  • Workers’ compStatutory, with employer’s liability at $1,000,000
  • Certificate holderBrightwater Holdings, Inc.
  • Description of operations“Brightwater Holdings, Inc. is included as additional insured on a primary and non-contributory basis with respect to general liability and automobile liability.”
Certificate of liability insuranceSample, based on the ACORD 25 form
Date04/15/2026
ProducerCedar Row Insurance Agency
1200 Commerce Street, Suite 400
Dallas, TX 75201
InsuredRidgeline Facility Services LLC
4800 Harbor Drive
Houston, TX 77002
ContactSam Patel
(214) 555-0187
spatel@cedarrowagency.example
Insurers affording coverage AGranite Mutual Insurance Company BIronwood Casualty Company
Coverages Certificate number: 2026-0415
Ltr
Type of insurance
ADDL INSD
SUBR WVD
Policy number and dates
Limits
A
Commercial general liabilityOccurrence
 
 
CGL 2026-30114402/01/2026 to 02/01/2027
Each occurrence$1,000,000General aggregate$2,000,000
A
Automobile liabilityAny auto
Y
 
BA 2025-30114503/01/2025 to 03/01/2026
Combined single limit$1,000,000
B
Workers’ comp and employer’s liabilityStatutory
 
 
WC 2026-41882002/01/2026 to 02/01/2027
Each accident$1,000,000Disease, each employee$1,000,000Disease, policy limit$1,000,000
Description of operationsJanitorial services at client office locations.
Certificate holderBrightwater
100 Market Plaza
Dallas, TX 75202
CancellationShould any of the above described policies be canceled before the expiration date, notice will be delivered in accordance with the policy provisions. Authorized representativeSam Patel

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