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Drucks Plumbing & Heating Co Inc 9-1-18
(:Susan Lambert.VVISC.AAI.AIS.ACSR. PVVCAM FaxID:Johnson Insurance Date:8/21/2017 3:06:03 PM Paoe:2 of 2 �.....11N DRUCPLU-01 SLAMBERT ACORD D ° DATE(MM/DYYYY) �� CERTIFICATE OF LIABILITY INSURANCE 08/21/2017 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 pollcy(les)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 Johnson Insurance Northeast HNNo,Eat): 800 776-7055 I FAX 318 South Washington Street (A/C, ) (NC,No):(877)254-8586 Green Bay,WI 54301 ,infoglohnsonins,com INSURERS AFFORDING COVERAGE NAIC C - _._____......_....__.— INSURER A:West Bend Mutual Ins Co 15350 INSURED INSURER B: Drucks Plumbing&Heating Co Inc INSURER_C...,.•.,._, 314 Appleton Street INSURER 0: Menasha,WI 54952 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 ADDL� IPOLICY EFF POLICY EXP 1� TYPE OF INSURANCE IN , �:'l7 POLICY NUMBER I t1D0mYYLJMM/Dp/Yyyyl LIMITS A X COMMERCIAL GENERAL UABILITY EACH OCCURRENCE S 1,000,000 -_, CLAIMS-MADE I X 1 OCCUR 0941561 09/01/2017 09/01/2018 DAMAGE TO RENTED 200,000 PREMISF a f Fa➢S6dafLCRGe) $ MED.EXP(Any_onepersonJ. _$ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 O POLICY 1---XPR X 1 JECT LI]LOC PRODUCTS-COMP/OP AGG••„S 2,000,000 ......_... (_OTHER_ _._...---------- S A AUTOMOBILE UABILFTY - COMBINED SINGLE LIMIT S 1i000,O00 ..(Ea;3cGl�ei>9. X ANY AUTO 0941561 09/01/2017 09/01/2018 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS�� ONLY AUTOS BODILY INJURY(Per acciden>l._.$ _ FAIT ONLY AIOJT ON LY ONEE� PROPEer aacciAont�AMAGE I. S A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE 0941561 09/01/2017 09/01/2018 AGGREGATE S 2,000,000 DED 7 RETENTION$ ....._... ..-........_------•---......__..._....__---..._ ..... ....... S A WORKERS COMPENSATION X TT PER T l OTH- AND EMPLOYERS'LIABILITY 1. TAIlaE.I I. R. YIN 0941562 09/01/2017 09/01/2018 100,000 R/ANY PROPRIETOPARTNER/EXECUTIVE E.L.EACH ACCIDENT �.$ OFFICER/MEMBER EXCLUDED? f.,� ] N/A .. (Mandatory In NH) ,,, E_L._DISEASE•-_EA EMPLOYEE $-__•__•� 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below __.._... E.L.DISEASE-POLICY LIMIT S R=CEIVE9.__..._......_�... DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) ---�—� AUG 2 2 20U • II CITY CLERK'S OFFICE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Oshkosh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 Oshkosh,WI 54901-1130 AUTHORIZEDdiAAL RREPRE�SEENNT/JATIVVE ,, I C C.f'a,daNl a ' 6 ) ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD