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HomeMy WebLinkAboutJBD Communicaitons LLC 4-22-18 _____—..—.......,N • • JBDCO-1 OP ID: TS2 ACORO DATE(MM/DDNYYY) lh...------- CERTIFICATE OF LIABILITY INSURANCE 04/25/2017 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 920-437-9281 CONTACT Tony J Schiegg Green Bay Insurance Center,Inc PHONE 920-437-9281 FAX 920-437-9784 417 S Monroe Ave (A/C,No,Ext): (Arc,No): Green Bay,WI 54305-1960 ADDRESS:t0nyQ@sblc.c0m Tony J Schiegg INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Secure Insurance 22543 INSURED J B D Communications, LLC INSURERS: N6049 County E INSURERC: De Pere, WI 54115 INSURER D: 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 SUBR ' POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR TC3079988 04/22/2017 04/22/2018 DAMAGE TO RENTED 100,000 X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Tee LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY EaM INED acccidentSINGLE LIMIT $ 1,000,000 X ANY AUTO A3079989 04/22/2017 04/22/2018 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOSD ONLY AUTOS y/ ED BODILY INJURY(Per accident) $ X AUTOS ONLY X ;VOWS (PP err acEcidentDAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE CU3079991 04/22/2017 04/22/2018 AGGREGATE $ 5,000,000 DED X RETENTION$ 10000 $ A WORKERS COMPENSATION X STATUTE X ERH AND EMPLOYERS'LIABILITY Y/N WC3079990 04/22/2017 04/22/2018 1,000,000 ANY ANYIPROPRIETER/PARTNERD ECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below _ _ __ _ _ , E.L.DISEASE-POLICY LIMIT $ `rtsyc I TIQN OF OPERATIONS,/LOCgTJONS/VEHICLES (tCORD 1Q1,Additional Remarks Schedule,may be attached if more space is required) RECEIVED _ Ity O [JJshkos ,an Its oiticers, Council mempers, agents, emp oyees, an authorized volunteers are included as Additional Insured's on a primary& non-contributory basis, with respects to the General Liability policy per MAY 01 2017 the enclosed form#ILE1037(1105). CITY CLERK'S OFFICE CERTIFICATE HOLDER _ CANCELLATION CITYOSI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Oshkosh ACCORDANCE WITH THE POLICY PROVISIONS. City Clerks Office 215 Church Avenue AUTHORIZED REPRESENTATIVE Oshkosh,WI 54901 Tony J Schiegg ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD