HomeMy WebLinkAboutBrockway
CONDCOM.01
GIKA
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDDIYYYY}
6/27/2006
PRODUCER (515) 224-2450 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
TrueNorth Companies, LLC - Des Moines ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Regency West 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1501 50th Street, Suite 340
West Des Moines, IA 50266 INSURERS AFFORDING COVERAGE NAIC#
INSURED Condon Companies INSURER A: Continental Western Insurance
126 E Jackson Street INSURER B:
Ripon, WI 54971-1378 INSURER c:
INSURER D:
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.
I~~: ~~~ TYPI' OF POLICY NUMBER Pg1-+~~~~~6g~:= Pgk~l(~~6~~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X X COMMERCIAL GENERAL LIABILITY CWP25701362 7/1/2006 7/112007 ~~~~iSU(E~~~~~nce) $ 100,000
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ NIA
X Incl POlicy # BOP2573644 PERSONAL & ADV INJURY $ 1,000,000
- 2,000,000
GENERAL AGGREGATE $
- 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
I POLICY n ~~;: n LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
A ANY AUTO CWP25701362 7/112006 71112007 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
X (Per person) $
X SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
- $
X NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ 1,000,000
A ~ ANY AUTO CWP25701362 71112006 71112007 OTHER THAN EA ACC $ 1,000,000
AUTO ONLY: AGG $ 2,000,000
::=JESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 8,000,000
A OCCUR D CLAIMS MADE CU2580189 7/112006 71112007 AGGREGATE $ 8,000,000
$
;j DEDUCTIBLE $
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND X I WCSTATU-.I IOTH-
TORY LIMITS ER
A EMPLOYERS' LIABILITY WC2577365 7/112006 71112007 500,000
E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE 500,000
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500,000
SPECIAL PROVISIONS below
OTHER
A Inland Marine CWP25701362 7/112006 71112007 Motor Truck Cargo $1 OO.I~OO ($1,000 Oed)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ~." ~J .-;;--~-::--', ----__::/
Re: Condon Total Comfort - Brockway City Rehab Job, December 2005. f rl! I.b K.~ Jt..:: fi ~lJ lrt~ ~~ I
City of Oshkosh is named an Additional Insured with respect to the operation(s) related to the a ~.Jr:' - '~~r~gM. ~,f"\
11k3.! --llj 11
11ir,U'" JUl - 3 2006 ili h
U l j....li j
CANCELLATION CITY rl r:::D.'/ln ..- >_ . _"i' I
SHOULD ANY OF THE ABOV ~~~~b dE~~fH; EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAyS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE Tel DO SO SHALL
CERTIFICATE HOLDER
City of Oshkosh
City Hall
PO Box 1130
Oshkosh,VVI54902-
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
-----
~
D~
ACORD 25 (2001/08)
@ ACORD CORPOI~ATION 1988