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HomeMy WebLinkAboutDowling Construction 1-23-20 Erie CERTIFICATE OF INSURANCE DATE ISSUED(MM/DD/YY) Insurance' —THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY— 3/11/19 Home Office • 100 Erie Insurance Place • Erie,Pennsylvania 16530 • 814.870.2000 Toll free 1.800.458.0811 • Fax 814.870 3126 • www.eneinsurance.com NAME AND ADDRESS OF AGENCY INSURANCE SVCS BY KAREN LLC AGENT'S NO. C 'C ERI� �AAY COVERAGE 1970 WALTER CT WW2144 _Coo•-FRIEINSURANCE PROP _. COMPANY OSHKOSH,WI 54901-1015 Co.:E ERIE INSURANCEXCHANGE Not Eno Indemn Co.,Attorney-in-Fact In NY 11 Ce... =t URANCE_CO �QF NEW _-- (920)252-2575 Co.:O =AGSM P CITY INSURANCE COMPANY This certificate is issued for information purposes only and confers NAME AND ADDRESS OF NAMED INSURED no rights on the certificate holder. It does not affirmatively or negatively amend,extend,or otherwise alter the terms,exclusions Dowling Construction Inc and conditions of insurance coverage contained in the policy(ies) 3597 Stearns Dr indicated below.The terms and conditions of the policy(ies)govern the insurance coverage as applied to any given situation.Limits Oshkosh,WI 54904 shown may have been reduced by claims paid.This certificate of insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer and the certificate holder. ThE byPolicy Named Insured at the time that the Certificate is being issued. pIs IS to certify that policies,as indicated the Number below,are in force for the Na PriCtda TYPE OF INSURANCE POLICY NUMBER r i 11 E A I LIMITS I GENERAL LIABIUTY Q37 2350850 I!23/19 Ir23/20 EACH OCCURRENCE ,$ 1,000,000 ®COMMERCIAL GENERALLIABIUTY FIRE DAMAGE(Any One Rrei$ 1,000,000 ❑CLAIMS MADE ®OCCUR MED EXP(Any One Person) $ 5 000 ❑ -- PERSONAL B ADV.INJURY $ 1,000,000 ❑ GENERAL AGGREGATE IS 2,000,000 GENT AGGREGATE UMITAPPUES PER: PRODUCTS-COMP/OPAGG$ 2,000,000 ❑POLICY ®PROJECT ❑LOC, I E ❑ AUTOMOBILE LIABILITY BODILY INJURY ® "ANY AUTO"(OWNED.HIRED, QO 1 2340047 1/23/19 1/23/20 (EACH PERSON) S NON-OWNED) BODILY INJURY ©OWNED (EACH ACCIDENT) $ N HIRED PROPERTY DAMAGE $ ®NON-OWNED BODILY INJURYAND PROPERTY DAMAGE 1,000,000 ElGARAGE COMBINED $ E'❑EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000 0 OCCURRENCE Q25 2370298 1/23/19 1/23/20 AGGREGATE $ 2,000,000 $ ❑ RETENTION $ $ S E WORKERS COMPENSATION& $5 2300754 1/23/19 1/23/20 STATUTORY EMPLOYERS LIABILITY Q BODILY1 ACCIDENT S 100,000 EACH ACCIDENT INJURY DISEASE S 500,000 POUCYUMIT BY DISEASE S 100,000 EACH EMPLOYEE OTHER i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Additional Insured:City of Oshkosh and its officers,council members,agents,employees and authorized volunteers CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIV- ERED IN ACCORDANCE WITH THE POUCY PROVISIONS. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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). NAME AND ADDRESS OF CERTIFICATE HOLDER City of Oshkosh,Attn:City Clerk AUTHORIZ-0REPRESENTATIVE PO Box 1130 Oshkosh,WI 54903 /1G( -G y Ci^f' EIG6230 8/11 Page 1 of 1