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HomeMy WebLinkAboutMeade Electric 5-25-19 AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ‘..---- 05/07/19 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: _ ROBERT B MCMANUS INC INC.No.6tD: (312)786-9090 i(AC,No:: (312)341-1133 111 W Jackson Blvd #1134 E-MAIL ss: kcaseyl�rbmcmanus.com Chicago, IL 60604 RECEIVED INSURER(S)AFFORDING COVERAGE NAICS INSURER A: QBE Insurance Corp. 39217 INSURED '1 6 2019 INSURER B: Charter Oak Fire Ins.Co. 25615 Meade Electric Co., Inc. MAY INSURER C: American Guarantee&Liab 26247 625 Willowbrook Cint(acRal[kl3LIC WORKS INSURER 0: Safety National Casualty 15105 n�IIKO FI WISCONSIN INSURERS: Travelers Property Cas.Co. 25674 Willowbrook IL 60527 INSURERF: COVERAGES CERTIFICATE NUMBER: MEFCTV 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 ADDL SUBR 1 POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD MO POLICY NUMBER 'IMM/DDIYYYYI IMM/DD/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $ _ 100,000 X XCU Coverage MED EXP(Any one person) $ 5,000 A Y CGA 0960193 05/25/18 05/25/19 PERSONAL d ADV INJURY $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X JE a LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY (EaMacddeDM)INGLE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY(Per person) S OWNED X SCHEDULEDUTOS CAP-5808B576 05/25/18 05/25/19 BODILY INJURY(Per accident) $ B X AUTOS ONLY XHIRED \/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accdent) $ 1 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 C _ EXCESS LIAB CLAIMS-MADE AUC-0195849 05/25/18 0512SH9 AGGREGATE $ 25,000,000 DED RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? n NIA AGC Salf Ina. IL IN WI 05/25/18 05/25/19 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $_ 1,000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Property&Equipment QT6301 F23268A 05/25/18 05/25/19 All Risk DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: All Operations Additional Insured: City of Oshkosh,and its officers, council members, agents, employees and authorized volunteers.Coverage is primary and non-contributory. 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 Attn: City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. 215 Church Avenue AUTHORIZED REPRESENTATIVE P.O. B1130 eliirr- Al G' a11ifs Oshkosh,x ,WI54903-1130 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD