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HomeMy WebLinkAboutSchroeder Properties of Oshkosh LLC 11-23-18 ® DATE(MAVDM'DYY)AC� CERTIFICATE OF LIABILITY INSURANCE 08i22/2018 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 CONTACT NAME: Tracy Hemauer Head Insurance Agency LLC P HONE.Exn: (920)989-1473 _ FAX No):(920)989-2473 W579 Castle Drive ARESS: tracy@headinsurance.biz Sherwood,WI 54169 INSURER(SI AFFORDING COVERAGE NAIL0 INSURERA: Erie Insurance Exchange INSURED INSURER B: _ Schroeder Properties of Oshkosh LLC INSURERC: 4424 Clark St INSURER 0: Omro,WI 54963 INSURERE: INSURER F: _ COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 1 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. INTR I TYPE OF INSURANCE I=I Sy,ryp I POLICY NUMBER I I PMOALICY EXP WOYIYYYEFFY)I(MMIDOIIYYYYI I LIMITS A XI COMMERCIAL GENERAL LIABILITY Y Q472350583 11/23/2017 11/23/2018 EAcHOrf.LIRRENCE s 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED - ?RIMISEs(Ea«arrence) s 1,000,000 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY __s 1,000,000 GENI AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE I s 2,000,000 X POLICY LOC PRODUCTS_COMPIOPAGG S 1,000,000 OTHER I S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 (Ea aaadent_ ANY AUTO BODILY INJURY(Per person) S —OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) 5 HIRED NON-OWNED PROPERTY DAMAGE 1$ AUTOS ONLY AUTOS ONLY (Per accident I$ UMBRELLA UAB I OCCUR EACH OCCURRENCE 5 EXCESS UAB CLAIMS-MADE AGGREGATE _ 5 DED I RETENTION 5 _ pp I s WORKERS COMPENSATION STATUTE I ETH AND EMPLOYERS'LIABILITY YIN - ANY PROPRIETOR/PARTNER/EXECUTIVE NIA EL EACH ACCIDENT /M S OFFICEREMBER EXCLUDED? — (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S II yes describe under DESCRIPTION OF OPERATIONS below EL DISEASE•POLICY LIMIT S I • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Oshkosh THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEUVERED IN Attn:City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 AUTHORIZED REPRESENTATIVE Oshkosh,WI 54903-1130 LTMH) ©19 y 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Printed by TMH on August 22.2018 at 02:19PM