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HomeMy WebLinkAboutWatco Companies 3-1-19 DATE(MM/DD/YYYY) ACCORD® CERTIFICATE OF LIABILITY INSURANCE 02/26/2018 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 MARSH USA INC. NAME` _FAX W.MADISON (A/C No.Est): FAX No): CHICAGO,IL 60661 E-MAIL Attn:chicago.CertRequest@marsh.com ADDRESS: INSURERS)AFFORDING COVERAGE NAIC N INSURER A:Lexington Insurance Company 19437 INSURED INSURER B:Travelers Property Casualty Co.of America 25674 Watco Companies,L.L.C. 315 W 3rd Street INSURER C:N/A N/A Pittsburg,KS 66762-4706 INSURER D:American Longshore Mutual Association(Alma) INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-007811013-13 REVISION NUMBER: 3 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 EXPM/ LIMITS LTR INSD WVD POLICY NUMBER (MDD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea M,urrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 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) A UMBRELLA LIAB X OCCUR 026022526 03/01/2018 03/01/2019 EACH OCCURRENCE $ 15,000,000 X EXCESS UAB CLAIMS-MADE AGGREGATE $ 30,000,000 DED RETENTION$ $ B WORKERS COMPENSATION TC2N-UB-1105L967-17 08/10/2017 08/10/2018 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE Y!N TRK-UB-1105L979-17 08/1012017 0811012018 E.L.EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? N Ni A ALMA01418 03(USL&H) 08/10/2017 08/10/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1.000,000 If yes describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Zi���`,�-, City of Oshkosh is included as additional insured as their interest may appear. F_L �l MAR 02 2018 CITY CLERK'S OFFICE CERTIFICATE HOLDER CANCELLATION City of Oshkosh SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:City Cleit THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 Church Avenue ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 Oshkosh,WI 54903 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee �tav�noI-.L ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD