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HomeMy WebLinkAboutDirty Ducts Cleaning & Environmental Inc 7-1-18 �_......441 DIRTDUC-01 CHIVELY Ac-oR0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) kik...—.----- 07/07/2017 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 N C NTACT ME: Robertson Ryan-Milwaukee PHONE o E,q;(414)271-3575 I FAX No):(414)271-0196 330 East Kilbourn Avenue,Suite 650 E-MAIL Milwaukee,WI 53202 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Starr Surplus Lines Insurance Company INSURED INSURER B:STARR INDEMNITY&LIABILITY COMPANY Dirty Ducts Cleaning&Environmental Inc. INSURER c:AMERICAN INTERSTATE INSURANCE COMPANY INC 31895 P.O.Box 46068 INSURER D: Madison,WI 53744-8068 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 VNTH 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WILD POLICY IMM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 1000066657171 07/01/2017 07/01/2018 DAMREMISAGE ES(TOEa RENTEDoccurrence) $ 100,000 P MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRCOT- l LOC PRODUCTS-COMP/OP AGG $ 2,000,000 E OTHER $ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO 1000199050171 07/01/2017 07/01/2018 BODILY INJURY(Per person) $ OWNED — SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AURE NON-OWNEDPROPERTY DAMAGE TOS ONLY UUOS ONLY (Per accident) $ $ A _ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS MADE 1000337129171 07/01/2017 07/01/2018 AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION y PER X STATUTE ER AND EMPLOYERS'LIABILITY Y/N AVWCWI2614062017 07/01/2017 07/01/2018 1,000,000 ANY YIPRO /PARTERS ECUTIVE N/A E.L.EACH ACCIDENT $ (Mandato/ryME rnM NBEH)R N E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liab 1000066657171 07/01/2017 07/01/2018 Each/Aggregate 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate Holder Note:The City of Oshkosh,and its officers,council members,agents,employees and authorized volunteers are Included on the General Liability insurance as additional insureds on a primary basis. - All insurance policies comply with Section 631.36 of Subchapter III of the Wisconsin Statutes,Termination of insurance contracts pry? IVED LiL 24 2017 CERTIFICATE HOLDER CANCELLATION CiTl CLERK'S OFFICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Oshkosh Attn:CityClerk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 Church Avenue P.O.Box 1130 Oshkosh,WI 54903-1130 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD