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HomeMy WebLinkAboutGanther Construction 10-1-18 ,4 a® CERTIFICATE OF LIABILITY INSURANCE °ATE{0"2017'"Y' 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 i certificate does not confer rights to the certificate holder in lieu of such endorsement(s). C PRODUCER CONTACT 9 NAME: Aon Risk Services central, Inc. PHONE (920) 437-7123 (920) 431-6345 d Green Bay wI office (A/C.N" ): (AMC.No.): 17 111 N. Washington Street, Suite 300 E-MAIL P. 0. Box 23004 ADDRESS: Green Bay wi 54305-3004 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Valley Forge Insurance Co 20508 Ganther construction / Architecture, Inc INSURERS: Continental Casualty Company 20443 4825 county Road A INSURERC: The Continental Insurance Company 35289 oshkosh WI 54901 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570068809611 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested NSR ADD'.SUER POLICY ELF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER .� D OLIO YYYYJ LINTS A X COMMERCIAL GENERAL LABILITY 6014318985 1b1O1 20I /U /1 2018 EACH OCCURRENCE S1,000,000 PackageENTED CLAIMS-MADE I X I OCCUR PREMSES Eaoccurrence) 5500,000 MED EXP(Any one person) S15,000 PERSONAL SADVINJURY S1,000,000 OEN'L AGGREGATE LIMIT APPLES PER: GENERAL AGGREGATE $2,000,000 cC POLICY I X IJE6 ❑LOC PRODUCTS-COMP/OP AGG S2,000,000 OTHER r-s N. 8 AUTOMOBILE LIABiLffY '6014318968 10/01/2017 10/01/2018 COMBINED SINGLE LIMIT 'n Automobi 1 e [Ea accldept) il,000,000 X ANY AUTO BODILY INJURY(Per person) 0 OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY _AUTOS ONLY (Par accident) I at c X UMBRELLA LAB X OCCUR 6014318971 10/01/2017 10/01/2018 EAcr,occuRRENcE $8,000,000 V Umbrella — AGGREGATE S8,000,000 EXCESS LiAB CLAIMS-MADE X DED I 'RETENTION S10.007 A WORKERS COMPENSATION AND 6014118999 10/01/201'10/01/2018 X PER 0TH EMPLOYERS'LIABILITY Workers compensationER ANY PROPRIETOR/PARTNER/EXECUTIVE N'1 E.L.EACH ACCIDENT $100,000 OFFICEWMEMHkNLXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 II yea,describe Wander DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S S00,000— NM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddltIonal Remarks Schedule,may be attached If more space Is required) e'er CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE rli POLICY PROVISIONS. s� CITY OF OSHKOSH AUTHORIZED REPRESENTATIVE CITY CLERK'S OFFICE k P.O. BOX 1130 OSHKOSH WI 54903-1130 USA (� i'Et7J- e!�Qs2. Wi O �i I e�CKo�a Zra V(c cJ G aJ iii ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD