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HomeMy WebLinkAboutVision Telecommunications Inc 1-1-18 Client#: 1038474 VISIOTEL YYY) ACORD-. CERTIFICATE OF LIABILITY INSURANCE 3/1 DATE(7/2017 MMDDrfMM/DD/Y 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 CONTACT Staci Richter USI Insurance Svcs LLC PHONE 904-450-4717 FAX 877-775 0285 (A/C,No,Ext): (A/C,No): 4601 Touchton Rd.,Ste.3210 n DRESS: staci.richter@usi.com Jacksonville, FL 32246 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Hanover Insurance Company 22292 INSURED INSURER B:Auto Owners Insurance Company 18988 Vision Telecommunications Inc. INSURER C American Interstate P 0 Box 57340 INSURER D: Jacksonville, FL 32241 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY LDJ6984323 01/01/2017 01/01/2018 EACH OCCURRENCE $1,000,000 pAMAGE7O RENTED A COMMERCIAL GENERAL LIABILITY PREMISES Ea occunence) $100,000 CLAIMS-MADE Xl OCCUR MED EXP(Any one person) $5,000 X Blanket Add9 Ins. PERSONAL 8 ADV INJURY $1,000,000 X Blanket Waiver GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X JERCT LOC $ A AUTOMOBILE LIABILITY AHJ6984383 01/01/2017 01/01/2018 EaacBcideDtSINGLELIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ x ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ _ .$ - . X HIRED AUTOS X AUTOS D (erraccidentrMAGE $ A x UMBRELLA LIAB X OCCUR J IUHJ6984872 01/01/2017 01/01/2018 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ B WORKERS COMPENSATION AVWCWI2470282016 02/12/2017 02/12/2018 X WC TATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE (WI, FL, KY) E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) Blanket Waiver E.L.DISEASE-EA EMPLOYEE,$1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Leased/Rented Equ I RHJ8585518 01/01/2017 01/01/2018 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Oshkosh, and its officers, Council members, agents,employees and authorized volunteers, only when there is a written contract that requires such status,and only with regard to work performed on behalf of the named insured.The General Liability policy contains a special endorsement with Primary and Noncontributory wording,when required by written contract. CERTIFICATE HOLDER CANCELLATION Cityof Oshkosh SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE s os THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 Church Ave. ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 Oshkosh,WI 54903-1130 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S20082543/M19816495 SSAZP A