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HomeMy WebLinkAboutFreund Excavating 11-11-18 �", FREUEXCOPC MMURKEN ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmm) �.------ 12/20/2017 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 CONTACT Mary Murken, CIC NAME: Murken Insurance LLC i PHONE ' FAX 218-6850 PO Box 3062 (NC,No,E1ct):(920)651-1500 (A/c,No):(866) Oshkosh,WI 54903-3062 E4AAILADDRESS:mmurken@murkeninsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:S@CUra Insurance 22543 INSURED INSURER B: Freund Excavating INSURER C: 3135 Delhi Rd INSURERD: Omro,WI 54963 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSD WVD (MM/DD/YYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR TC3230045 11/11/2017. 11/11/2018 DAMAGETORENTED 100,000 XPREMISES(Ea occurrence) $ ' MED EXP(Any one person) $ 5'000 PERSONAL&ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Xj JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER. VOLUNTARY PROPE $ 2,500 • A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ _ ANY AUTO A3230046 11/11/2017 11/11/2018 I BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS I 1BODILY INJURY(Per accident) $ RED OWNI PROPERTY DAMAGE X AUTOS ONLY X AUUTOS ONLY (Per accident) $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CU3230047 11/11/2017 11/11/2018 AGGREGATE $ 1,000,000 DED I X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ QanCtryMnBH EXCLUDED? N/A - E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below ,E.L.DISEASE-POLICY LIMIT $ I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Oshkosh,and its officers,council members,agents,emplyees,and authorized volunteers shall be Additional Insureds. 30 day notice of cancellation applies. RECEIVED DEC 2 8 2011 CERTIFICATE HOLDER CANCELLATION CITY CI F.RK'S OFFICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI Of Oshkosh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. ATTN:City Clerks Office PO Box 1130 Oshkosh,WI 54903 AUTHORIZED REPRESENTATIVE --111-41A4 111/C04114_, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD