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ACORDm CERTIFICATE OF LIABILITY INSURANCE OP ID S~ DATE (MM/DDNYYY)
LIEDS 1 09/03/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Robertson Ryan & Assoc., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Two Plaza East, Suite 650 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
330 East Kilbourn Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Milwaukee WI 53202
Phone:414-271-3575 Fax:414-271-0196 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: The Cincinnati Ins Companie~
INSURER B; United Heartland Insurance
Lied's Nursery Company Inc INSURER c;
8616 State Road 76 INSURER D:
Neenah WI 54946
INSURER E;
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.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER ~'1,;!~¡J~rJ¡f~E P~k~CEY(~~b~J!..~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
~
A X COMMERCIAL GENERAL LIABILITY CPP0912453 09/01/04 09/01/00 PREMISES (Ea occurence) $ 100000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000
f--- PERSONAL & ADV INJURY $ 1000000
~ GENERAL AGGREGATE $ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000
H .nPRO- n
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000
A ~ ANY AUTO CPP0912453 09/01/04 09/01/05 (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $5000000
A ~ OCCUR D CLAIMS MADE CPP0912453 09/01/04 09/01/05 AGGREGATE $ 5000000
$
~ DEDUCTIBLE $
X RETENTION $10000 $
WORKERS COMPENSATION AND ITò'~l~~Wš I IOlH-
ER
B EMPLOYERS' LIABILITY 0400046953 09/01/04 09/01/05 $ 500000
ANY PROPRIETOR/PARTNER/EXECUTNE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500000
Ii yes, describe under. . ------.- -----...-
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000
OTHER
A Equipment Floater CPP0912453 09/01/04 09/01/05 $750,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Weed spraying/fertilizing on city properties.
CERTIFICATE HOLDER
CANCELLATION
OSHKO05 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANcELLED BEFORE THE EXPIRATION
City of Oshkosh DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Donald LaFontaine, Purch Agent NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
215 Church Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P 0 Box 1130
Oshkosh WI 54902 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
James H. Rvan
ACORD 25 (2001/08)
@ACORD CORPORATION 1988