Loading...
HomeMy WebLinkAboutJames J. Calmes & Sons Inc 4-11-18 Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY( �-- 10/23/2017 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 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 NAMEAC�dary MCLennan_ Spectrum Insurance Group GB NC.No.Ext1:920-884-2850 FAX Ne1:g20$$4-2851 __ 303 Packerland Dr Ste C E-MAIL Green Bay WI 54303 ADDRESS:mary.mclennan@spectruminsgroup.com INSURER(S)AFFORDING COVERAGE NAIC N _ INSURER A:United Fire Casualty 13021 INSURED JAM E S-2 INSURER B: James J. Calmes&Sons, Inc. INSURERC: TRC Mid Valley Utilities INSURER D: N2193 Bodde Road Kaukauna WI 54130 INSURER E_ . INSURER F: COVERAGES CERTIFICATE NUMBER: 1827618815 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 SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) • A GENERAL LIABILITY 60413363 4/11/2017 4/11/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X _ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 82,000,000 7 POLICY X JECOT- X LOC $ A AUTOMOBILE LIABILITY 60413363 4/11/2017 4/11/2018 LOMBINED SINGLE LIMIT (Eaacciden1) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident)' $ A X UMBRELLA LIAB X OCCUR 60413363 4/11/2017 4/11/2018 EACH OCCURRENCE 55,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10,000 $ A WORKERS COMPENSATION 60413363 4/11/2017 4/11/2018 X `/'C STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? Y N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Hired/Rented Equipment 60413363 4/11/2017 4/11/2018 Hired/Rented Equip 100,000 A Installation Floater 60413363 4/11/2017 4/11/2018 Installation Floater 20,000 i Deductible Deductible 500 I DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Corporate officers Todd Calmes& Randy Calmes are excluded from Workers'Compensation Coverage. The City of Oshkosh and its officers, council members, agents, employees, and authorized volunteers as additionally insured under general liability and business auto policy. Policies have been endorsed to include a 30 day written notice of cancellation, non-renewal or material change in the insurance coverage. RECFIVED CERTIFICATE HOLDER f p CANCELLATION IJAN 0 A 2018 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Oshkosh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 Church Ave, Box 1130 ^ I ACCORDANCE WITH THE POLICY PROVISIONS. Oshkosh WI 54903-1130 .- AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD