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HomeMy WebLinkAboutMcMullen & Pitz Construction Company 3-31-18 -----"1 m DATE(MM/DDrYYYYI A�0/?O CERTIFICATE OF LIABILITY INSURANCE oansrzon 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). CONTACT N PRODUCER L NAME: Aon Risk Services Central, Inc. PHONE Green Bay WI Office AIC.No.Ezt): (920) 437-7123 FAX No.). (920) 431-6345 TS 111 N. washington Street, Suite 300 E-MAIL 0 P. 0. Box 23004 ADDRESS: I Green Bay wI 54305-3004 USA INSURER(S)AFFORDING COVERAGE NAIL I INSURED INSURER A: ACUITY, A Mutual Insurance Company 14184 Mc Mullen & Pitz Construction Company INSURER B: Great American Insurance Company of NY 22136 17 Maritime Drive P. O. BOX 8 INSURER C: Manitowoc WI 54221 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570065932575 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. Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDDIYYYY1 11MMIDDIYYVYI LIMITS B X COMMERCIAL GENERAL LIABILITY OMH 2205923 03/31/2017 03/31/2018 EACH OCCURRENCE 51,000,000 GENERAL LIABILITY DAMAGE TO RENTED CLAIMS-MADE I X OCCUR SIR applies per policy terns & condi :ions PREMISES lEa occurrence) 550'000 L_JMED EXP(Any one person) 810,000 PERSONAL&ADV INJURY 51,000,000 n GEN'L AGGREGATEAT LIMIT APPLIES PER GENERAL AGGREGATE 52,000,000 rmn cn POLICY I I E C n LOC PRODUCTS-COMP+OP AGG 52,000,000 o OTHER 0 A AUTOMOBILE LIABILITY L80726 03/31/2017 03/31/2018 COMBINED SINGLE LIMIT 51,000,000 ,n BUSINESS AUTO lEa accident) X ANY AUTO BODILY INJURY(Per person) 0 Z OWNED SCHEDULED BODILY INJURY(Per accident) v AUTOS ONLY AUTOS HIRED AUTOS x NON-OWNED PROPERTY DAMAGE U ONLY AUTOS ONLY (Per accident) B * UMBRELLALIAB X OCCUR OMH 2205924 03/31/2017 03/31/2018 EACH OCCURRENCE 55,000,000 0 UMBRELLA AGGREGATE 55,000,000 EXCESS LIAB CLAIMS-MADE DED X RETENTION S25,000 WORKERS COMPENSATION ANO PER OTH- EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR'PARTNER'EXECUTIVE E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED' N I A (Mandatory in NH) - .- t - A EMPLOYEE II yes descnbe under DESCRIPTION OF OPERATIONS below r.L.DISC- a go - I AM DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached if more space is requir.'I CITYCL�RK 5 o w CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ti- POLICY PROVISIONS. MERCURY MARINE AUTHORIZED REPRESENTATIVE W2650 PIONEER RD PO Box 1939 � z' FOND DU LAC WI 54936 USA c^ow M.4 'cS C p�o o. M ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD