HomeMy WebLinkAboutMeade Electric Co 5-25-18 ACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ROBERT B MCMANUS INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
111 W Jackson Blvd #1134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Chicago, IL 60604
(312) 786-9090 INSURERS AFFORDING COVERAGE NAIC#
INSURED Meade Electric Co. , Inc. INSURER A: QBE Insurance Corp. 39217
6850 West 62nd Street INSURER B: Charter Oak Fire Ins. Co. 25615
Chicago, IL 60638 INSURER C: American Guarantee & Liab. Ins. 26247
INSURER D: Safety National Casualty Corp. 15105
I INSURER E: Travelers 25674
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRLT POLICY NUMBER ATE(MM/DD/YY)LICY EFFECTIVE POLICY
D TE(MM/D EXPIRATION) LIMITS
LTR INSRD GENERAL LIABILITYPE OF INSURANCE
EACH OCCURRENCE $ 2,000,000
DAMAGE I0 RENTED
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ 100,000
CLAIMS MADE X I OCCUR MED EXP(Any one person) $ 5,000
A Y CGA 0960193 05/25/17 05/25/18 PERSONAL&ADVINJURY $ 2,000,000
XCU Coverage GENERAL AGGREGATE $ 4 ,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000
POLICY^ PRO JECT LOC
X
AUTOMOBILE LIABILITY COMBINEDt)SINGLE LIMIT $ 2,000,000
(Ea X ANYAUTO
X ALL OWNED AUTOS BODILY INJURY $
(Per person)
X SCHEDULED AUTOS
B X HIRED AUTOS CAP-5808B576 05/25/17 05/25/18 BODILYINJURY $
(Per accident)
X NON-OWNED AUTOS
RECEIVED_ PROPERTY DAMAGE
Il (Per accident) $
GARAGE LIABILITY I 03 AUTO ONLY-EA ACCIDENT $
ANYAUTO MAY 2018 OTHER THAN ACC $
-- AUTO ONLY:
CITY 1 AGG $
EXCESS/UMBRELLA LIABILITY _EACH OCCURRENCE $25,000,000
X OCCUR I CLAIMS MADE AGGREGATE $25,000,000
AUC-0195849-01 05/25/17 05/25/18 $
C DEDUCTIBLE
RETENTION $ $
WCSTATU- OTH-
WORKERS COMPENSATIONAND X TORYLIMITS ER
EMPLOYERS'LIABILITY AGC4052525 05/25/17 05/25/18 E.L.EACH ACCIDENT $ 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE 1 t 000 000
D OFFICER/MEMBER EXCLUDED? IL,IN,& WI Self-Ins. E.L.DISEASE-EA EMPLOYEE$
If yes,describe under SPECIAL PROVISIONS below E.L.❑ISEASE-POLICY LIMIT $ 1,000,000
OTHER
E Property & QT6308758M006-TI 05/25/17 05/25/18 $1 ,000,000
Equipment
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: All Operations
Additional Insured: City of Oshkosh, and its officers, council members, agents,
employees and authorized volunteers . Coverage is primary and non-contributory.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Oshkosh DATE THEREOF, THE ISSUING INSURER WILLTO MAIL30 DAYS WRITTEN
Attn: City Clerk NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
215 Church Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. Box 1130 REPRESENTATIVES.Oshkosh, WI 54903-1130 AUTHORIZED REPRESENTATIV Al 6♦
,410446
I
-.--_..__. nACORD CORPORATION 1988