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HomeMy WebLinkAboutMcGann Construction 1-1-20 ____._._..,,, S; LA\ 6(6r (1 tom•G n(� OP ID: RP A CERTIFICATE OF LIABILITY INSUR a CE- C ,9 i� DATE 12/11/2018 Y) �� I 12/1112018 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 608-257-3795 CONTACT Phil Hausmann NAME: Hausmann-Johnson Insurance Inc PHONE FAX 700 Regent St., PO Box 259408 (A/C,No,Ext):608-257-3795 I(NC,No),608-257-4324 Madison,WI 53725-9408 E-MAIL Phil Hausmann ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Insurance Company 10677 INSURED McGann Construction Inc INSURER B: 3622 Lexington Ave Madison,WI 53704 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2017 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYYj A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ENP0417904 01/01/2018 01/01/2021 DAMGES ERENTED $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: _ _ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO EBA0417904 01/01/2019 01/01/2020 BODILY INJURY(Per person) ._$_ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ _ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE ENP0417904 01/01/2018 01/01/2021 AGGREGATE $ 10,000,000 DED RETENTION$ _ $ A I WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUT1VE I NIA EWC0418849 01/01/2019 01/01/2020 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE1$ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Equipment Floater ENP0417904 01/01/2018 01/01/2021 Scheduled 796,481 I C IPTIO OF OPE IONS 1 ATION I ICLES (ACOg�10t pdditiop Remarks ched I gig Gp ttached if more space is required) �umDerlant tzourt rhiase�1. en SpeciTled'In written Contract,et �ITy of Oshkosh and its officers,council members, agents, employees and authorized volunteers are listed as additional Insured with respect to \:::I_,_.4L1 Commercial General Liability. S ,CF CERTIFICATE HOLDER CANCELLATION CITOSHK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Oshkosh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 215 Church St Oshkosh,WI 54903-1130 AUTHORIZED REPRESENTATIVE df ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD