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HomeMy WebLinkAboutNeyers Communication Services 1-1-19 ___.....4 NEYER-1 OP ID: M9 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/07/2017 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 920-725-3232 ' CONTACT Mary Beth Baribeau McClone PHONENAME: 150 Main Street,Ste 300 (NC,No, :920-725-3232 FAX No):920-725�233 Menasha,WI 54952-0389 E4AAIL marybeth.baribeau@mcclone.com Troy Carlson ADDR 88 INSURER(S)AFFORDING COVERAGE NAIC I INSURER A:West Bend Mutual Insurance Co. 15350 INSURED Neyers Communication Services INSURER B: Inc. - Attn:Janet Neyers INSURER C: W9974 Kelly Drive Hortonville,WI 54944 INSURER O: 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 I TYPE OF INSURANCE ADM SUER POLICY NUMBER POLICY EFF I POLICY EXP LIMITS LTR INSD VVVD IMM/DD/YYYY1 1MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE I X1 OCCUR 2052169 01/01/2018 01/01/2019 DAMAGE TO RENTED200,00Q X PREMISES(Ea occurrence) $ 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 COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY :- i n $ X ANY AUTO X 2052169 01/01/2018 01/01/2019 BODILY INJURY Per.arson $ OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ S A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE__ $ 2,000,000 EXCESSLIAB CLAIMS-MADE 2052169 01/01/2018 01/01/2019 AGGREGATE $ 2,000,000 DED X RETENTIONS 0 $ A WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 2052170 01f01/2018 01/01/2019 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? iv'. NIA --- - - -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYE a $ 1,000,000 If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below ,E.L.DISEASE-POLICY_LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is requ • RE City of Oshkosh,and its Officers,Council Members,Agents, Employees and iL Authorized Volunteers are included as additional insureds as respects to nt6� General Liability&Automobile Liability.Thirty(30)day Notice of JAN 02 Ltl'IO Cancellation applies. CITY CLEItIeSWFWit CERTIFICATE HOLDER CANCELLATION OSHKOSI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF OSHKOSH ACCORDANCE WITH THE POLICY PROVISIONS. 215 CHURCH AVENUE P.O. BOX 1130 AUTHORIZED REPRESENTATIVE OSHKOSH,WI 54902-1130 „ `_, ���r t 4 e "_ACORD 25(2016/03) ' ©1988-2011"5"'ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD