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HomeMy WebLinkAboutAll-Ways Concrete LLC 5-1-20 ALLWAYS-01 SCLARK ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYVY) 7/15/2019 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. 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). PRODUCER CONTACT Shelly Clark Richards Insurance of Oshkosh,LLC PHONE PO Box 2424 (NC,No,Ex!):(920)235-1980 I Fax (NC,Ne):(920)235-1982 48 North Oakwood Road EMAIL ADDRESS;sclark@richardsinsurance.com Oshkosh,WI 54903 INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Frankenmuth Insurance 13986 INSURED INSURER B: All-Ways Concrete LLC INSURER C: ATTN Jason Bauer 512 Spruce St INSURER D: Omro,WI 54963-1050 INSURERE: INSURER F: 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 CONTRACTOR 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INS/ WVD IMM!DD/YYVYL(MMIDD/YYYY) A X COMMERCIAL.GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE LXI OCCUR X 6622198 5/1/2019 5/1/2020 PREMIsES(EaEourrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $ 2,000,000 POLICY n JECT I ] LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) X ANY AUTO X 6622199 5/1/2019 5/1/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOSE ONLY _ AUTOS BODILY BODILY INJURY(Per accident) $ AUTOS ONLY _ NON-OWNED ONLY ((err PROPERTY DAMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER I OTH- AND EMPLOYERS'LIABILITY STATUTE_ ER 6622197 5/1/2019 5/1/2020 100,000 OFFIEE CU PROPRIETOR/PARTNER/EXECUTIVE Y)N N!A E.L.EACH ACCIDENT $ (Mandatory In NH) EL.DISEASE-EA EMPLOYEE S 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule may be attached If more space Is required) CITY OF OSHKOSH,AND ITS OFFICERS,COUNCIL MEMBERS,AGENTS,EMPLOYEES,AND AUTHORIZED VOLUNTEERS SHALL BE ADDITIONAL INSUREDS ON GENERAL LIABILITY AND BUSINESS AUTOMOBILE COVERAGE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF OSHKOSH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 Oshkosh,WI 54903-1130 AUTHORIZED REPRESENTATIVE R ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD