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HomeMy WebLinkAboutReliable Rooter & Plumbing 1-1-19 - • RELIROO-02 GOJE "4�R�� CERTIFICATE OF LIABILITY INSURANCE DAT MM,DD/YYYY) 12/28/2017 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 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)733-4944 CONTACT Valley insurance Associates,Inc. PHONE FAX INC. 3962 N Richmond St No.Ertl: _ ,(A/C.Nor E-MAIL P 0 Box 1937 ADDRESS: Appleton,WI 54912-1937 INSURERS)AFFORDING COVERAGE I KAK I _ INSURER A:West Bend Mutual Insurance Company I15350 INSURED Reliable Rooter&Plumbing LLC INSURER e: (t _ 933 Pleasant View INSURER C: _ I Little Chute,WI 54140 INSURER D: _--- _ ! INSURER E: INSURER F: I 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i TL TYPE Of INSURANCE USTIEITT POLICY EFF POLICY EXP I — ---- --— INSD WYE/ POLICYN NUMBER (MWDD/YYY)1 (MUMMY—TT)i LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE r$ 1,000,0001 J CLAIMS-MADE 1 X OCCUR Y N A358902 1/1/2018 1/1/2019 RRAtrP,U(E; u) $ 100,000 i MED EXP(Any one person) 1$ 5,11 I GPERSONAL&ADV INJURY $ IflCiu•:• GENT AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE _ $ 2,000,000 peO" ' J Loc X POI-ICY I 1 PRODUCTS-COUP/OP AGG $.... 2,000,000 JECT L AUTOMOBILE LIABUTY I COMBINED SINGLE LINT s 1,000,000 '(Ea acdtlent) A X ANY AUTO Y N A358902 1/1/2018 1/1/2019 BODILY INJURY(Per person) $ ALL_ AUTOS OWNED LED IAUTOS I BODILY INJURY(Per accident)'$ PROPERTY DAMAGE $ HIRED AUTOS AUK-0WHED i(Per accident) _ _ I i UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000 A X EXCESS LAB CLAWS-MADE N N A358902 1/1/2018 1/1/2019 AGGREGATE $ --- 2,000,000 DED 1 X RETENTION$ 10,000_ $ WORKERS COMPENSATION I X STATUTE I (ER _ AND EMPLOYERS'LIABILITY A ANY PROPRIETOWPARTNERIEXECUTIVE Y/N N A358906 1/1/2018 1/1/2019 E L EACH ACCUENr $ $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A — (MandatoryInNH) E.L.DISEASE-EA EMPLOYEE $ $1,000,000 II yyes.describe under --- OESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LMMT $ $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached n more space is required) Additional insured with completed operations coverage and a 30 day cancellation notice applies to the City of Oshkosh,and Its officers,coucil members,agents,employees and authorized volunteers CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE City of Oshkosh,and Its officers, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN council members,agents,employees and authorized volunteers ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 Oshkosh,VA 54401- AUTHORIZED REPRESENTATIVE jA I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD