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HomeMy WebLinkAboutCondon Total Comfort 1-1-19 CONDTOT-02 CLUESCHEN A(.._7ORE, DATE(MM/OD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/10/2018 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 NAME: The Diedrich Agency 222 Blackburn St (A/CC,Nr o,Est):(920)748-2811 I IFlt,No):(920)748-5044 Ripon,WI 54971 pppREgg; INSURERS)AFFORDING COVERAGE NAIC 0 INSURER A:Acuity 14184 INSURED INSURER B: Condon Total Comfort Inc. INSURERC: 11 Blackburn St INSURERD: Ripon,WI 54971 INSURER E: 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 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 SUER POLICY NUMBER POLICY EFF POLICY EXP UNITS LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE _ $ 1,000,000 CLAIMS-MADE X OCCUR X Z61429 01/01/2018 01/01/2019 pREMSE$O(Eaocccu ante) $ 250,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY X JECT X LOC PRODUCTS-COMP/OP AGG_ $ 3,000,000 OTHER: S A COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY Ea acciderAt) $ X ANY AUTO Z61429 01/01/2018 01/01/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURYpp (Per accident) $ X AUTOS ONLY X AUUTOS ONLY (Perracciideent)AMAGE $ S A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE _ $ 5,000,000 EXCESS LIAB CLAIMS-MADE Z61429 01/01/2018 01/01/2019 AGGREGATE $ 5,000,000 DED RETENTIONS $ A WORKERS COMPENSATION X _STATUTE ER AND EMPLOYERS'LIABILITY YIN Z61429 01/01/2018 01/01/2019 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 500 OOO (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ ' _ If yes describe undeOr 500,000 DESCRIPTION OFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ A General Liability Z61429 01/01/2018 01/01/2019 1,000,000 A Equipment Floater Z61429 01/01/2018 01/01/2019 25,000 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 are additional insureds on the General Liability with Products and Completed Operations Endorsement CERTIFICATE HOLDER CANCELLATION 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. 215 Church Street PO Box 1130 Oshkosh,WI 54901 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD