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INSURANCE NAMED INSURED POLICY NO. POLICY TERM
ALL-WAYS CONCRETE LLC BOP6253279 05/01/2018 to 05/01/2019
Evidence of Insurance
Insured ALL-WAYS CONCRETE LLC Agent RICHARDS INS.OF OSHKOSH LLC
C/O JASON BAUER PO 2424,48 N.OAKWOOD RD.
512 SPRUCE ST OSHKOSH,WI 54903
OMRO,WI 54963
(920) 235-1980
Policy Number BOP 6253279 Effective Date 05/01/2018 Expiration Date 05/01/2019
R 1
This Evidence of Insurance verifies that the insurance coverages and limits shown below have been issued to the named
insured by the above insurer. Coverage is in force as of the effective date shown above. These coverages are subject to the
policy provisions. This evidence of insurance is issued as a matter of information only and confers no rights upon the evidence
holder. This evidence of insurance does not amend, extend, or alter the coverage, terms, exclusions and conditions afforded
by the policy or policies herein.
COVERAGES
Type of Locations/Coverage/Forms Amount Valuation Deductible Coin %
Insurance
Special
Inland
Marine
BP0448 General Aggregate $2,000,000
General 512 SPRUCE ST Products Comp Op Agg $2,000,000
OMRO,WI Each Occurrence $1,00u,000
Liability Personal&Adv Injury $1,000,000
WINNEBAGO 54963-1050 Med Payments(any one person) $5,000
Fire Damage(any one fire) $500,000
Empl Practices Liability
THE LIABILITY LIMITS SHOWN MAY HAVE BEEN REDUCED BY A PAID CLAIM.
Special Conditions/Other Coverages
BP0448 Additional Insured Designated Person or Organization(01-06)
Name and Address
CITY OF OSHKOSH [ Additional Interest
250 CHURCH AVE
OSHKOSH, WI 54901-4748 ❑ Other
Includes copyrighted material of Insurance Services Office,Inc.,with its permission. a Copyright.Insurance Services Office,Inc.,1990 D/B
FM-1293(1-12)