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HomeMy WebLinkAboutMcGann Construction Inc 1-1-18 - r MCGAN-1 OP ID:JT1 AC-ORO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/12/2017 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 CONTACTN Hausmann-Johnson Insurance Hausmann-Johnson Insurance Inc PHONE FAX 700 Regent St.,PO Box 259408 WC.No.Eat):608-257-3795 (Arc,No):608-257-4324 Madison,WI 53725-9408 E-MAIADDRESS: ss: Phil Hausmann INSURERS)AFFORDING COVERAGE NAIC INSURER A:Cincinnati Insurance Company 10677 INSURED McGann Construction Inc INSURER B: 3622 Lexington Ave Madison,WI 53704 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2017 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 SUBRW POLICY NUMBER (MMIIDDIYYYY) (OUCY EFF MWDD/YYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 MAENTE CLAIMS-MADE rX OCCUR ENP0417904 01/01/2017 01/01/2018 °aaE ISEst rence) $ 500,000 MED EXP(Any one person) $ 10,000 _ PERSONALS ADV INJURY $ 1,000,000 GENII AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY X JECaT X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: 1 AUTOMOBILE UABILT' COMBINED SINGLE LIMIT = 1,000,000 (Ea accident) A XI ANY AUTO EBA0417904 01/01/2017 01/01/2018 scup(INJURY(Per person) $ -ALL OWNED SCHEDULED BODILY INJURY(Per acddent) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE - S _ HIRED AUTOS AUTOS (Per accident) $ • X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 10,000,000 A EXCESSLIAB CLPJMSMADE ENP0417904 01/01/2017 01/01/2018 AGGREGATE $ 10,000,000 DED RETENTIONS $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ERA YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE EWC0418849 01/01/2017 01/01/2018 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additlonal Remarks Schedule,may be attached If more apace Is required) RE������ RE:Cumberland Court Phase 2.When specified in written contract,the City _ of Oshkosh and its officers,council members,agents,employees and authorized volunteers are listed as additional Insured with respect to Commercial General Liability. JUL 2 4 201/ C�X CLERICS oFFIC'F CERTIFICATE HOLDER CANCELLATION CITOSHK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Oshkosh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 215 Church 5t AUTHORIZED REPRESENTATIVE Oshkosh,WI 54903-1130 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD