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HomeMy WebLinkAboutVinton Construction Company 3-1-19 ACo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/28/2018 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: Tiffanie Courtney M3 Insurance Solutions, Inc. PHONE FAX 480 Pilgraim Way, Suite 1230 (Arc.No.Ext):920-455-7102 I(A/C,No): Green Bay WI 54304 ADDRESS: tiffanie.courtney@m3ins.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Zurich American Insurance Co. 16535 INSURED VINTCON-01 INSURER B:American Guarantee&Liability 26247 Vinton Construction Company 2705 North Rapids Road INSURER C:Starr Indemnity and Liability PO Box 1987 INSURER D: Manitowoc WI 54220-1 1 1 0 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:1030381964 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSD MD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY GLO-5948754-04 3/1/2018 3/1/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $300,000 MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X PROT- X LOC PRODUCTS-COMP/OP AGG $2,000,000 _ JEC OTHER: $ A AUTOMOBILE LIABILITY BAP-5948753-04 3/1/2018 3/1/20101 COMBINED SINGLE LIMIT $ (Ea accident 1 000 000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ B X UMBRELLA LIAR X OCCUR AUC-5948802-04 3/1/2018 3/1/2019 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$0 $ B WORKERS COMPENSATION WC-5948756-04 3/1/2018 3/1/2019 X AND EMPLOYERS'LIABILITY Y/N STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N N/A - - (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 C Leased/Rented Equipment ITC100070588617 3/1/2018 3/1/2019 Leased/Rented 665,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:City of Oshkosh-Contract 17-14 The City Of Oshkosh and AECOM Technical Services Inc.are included as Additional Insured on the General Liability,Auto&Umbrella Policies per the policy forms,conditions and exclusions. 30 Day Notice of Cancellation is included. CERTIFICATE HOLDER CANCELLATION 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 54903-1130 ,`�"t g„,; 11 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD