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HomeMy WebLinkAboutWatco Companies 8-10-18 Client#: 94695 WATCCOM ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD'YYYY) 8/03/2017 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(les)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 N,1,ME; Laura Weeks CBIZ Insurance Services,Inc. PHONE FAx 700 West 47th Street, Suite 1100 (E MCANo,Ext):816-945-5589 (A/c,No): IL ADDRESS: I WeekS@Cb I2.00111 Kansas City, MO 64112 INSURER(S)AFFORDING COVERAGE NAIC a 816 945-5500 - INSURER A:North River Insurance Company 21105 INSURED ( VS( S 5�NN INSURERB:United States Fire Insurance Co '21113 Watco Companies, LLC. — 315 W 3rd Street Sa Q c-r1 ' INSURER C: - Pittsburg, KS 66762 (`r msuRERD: 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 ADDLSUBR POLICY EFF POLICY EXP LTR _ TYPE OF INSURANCE _ INSR WVD POLICY NUMBER (MM/DD/YYY Y) (MM/DD/YYYY) LIMITS __COMMERCIAL GENERAL LIABILRY _ EACH OCCURRENCE $ CLAIMS-MADE I OCCUR PREMISES(Ea Occu ence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I I JECT 0- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ g AUTOMOBILE LIABILITY 1387553895 08/10/2017 08/10/2018 MBI ZEI SINGLE LIMIT $2,000,000 Xi ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS i AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ I $ A UMBRELLA LIAB X OCCUR 5821083864 08/10/2017 08/10/2018 EACH OCCURRENCE $8,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ - $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ II yes,describe under DESCRIPTION OF OPERATIONS below - EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached if more space is required) R L-tI'v1' 3_� Policy#1387553895 atached list of named insureds for Auto Coverage. Excess Auto is following form. 11 I Physical Damage applies to models 2005 and newer AUG 0 $ 2017 Physical Damage Comprehensive& Collision deductibles: Hired Autos & Owned Private Passenger, Light Trucks,and their trailers : $5,000/$5,000; All other owned vehicles and their trailers:$10,000/10,000. cm( CLERK'S OFFICE (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Oshkosh SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. 215 Church Avenue PO Box 1130 AUTHORIZED REPRESENTATIVE Oskosh,WI 54903 Zil .ek ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014'01) 1 of 3 The ACORD name and logo are registered marks of ACORD #S1623941/M1621409 OPRS