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HomeMy WebLinkAboutEmmanuel United Church of Christ 1-1-18 WA"- EMMAUNI-02 SNICKEL ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/31/2017 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 C NTACT N ME: Church Asset Management,Inc. A/C,HONENo, .(�)200.7257 I N,);(866)608.0600 1500 Wall St. Saint Charles,MO 63303 E-MAIL EF; INSURER(S)AFFORDING COVERAGE NAIC A INSURER A:°UldeOnN Specialty Mutual Insurance Company 14559 INSURED INSURER R; Emmanuel United Church of Christ INsuRERC: 1306 Michigan Street INsuRERD: Oshkosh,WI 54902 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP WITS LTR INSD WVDIMM/DDIYYYYI IMM/DD/YYYYL A X COMMERCIAL GENERAL LIABILITY I EACH A OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 1424-815 01/01/2017 01/01/2018 RP EMI°sEs Eaaa etros) $ 1'000'000 MED EXP(Any one son) $ 5'� per _ PERSONAL 6 ADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5'000'000 X POLICY j LOC PRODUCTS-COMP/OP AGO S 5,000,000 OTHER: S AUTOMOBILE LIABILITY �cI ntSINGLE LIMIT) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOSVy BODILY INJURY(Per accident) $ AUS ONLY UTOS ONLYEp _ ra nt4AMAGE S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAO CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION PER 1 OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPREIETgO�R�/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFIICdE� F(M NH)EXCLUDED? N/A (M E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES SACORD 101.Additional Remarks Schedule,may be attached if more space is required) Proof of liability insurance for permit to block sidewalk while brick work is being done. RECEIVED f EIVED FEB 14 2011 CITY Ci. p<IS CFFICE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Oshkosh,WI AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD