HomeMy WebLinkAboutTaxi Cab
ACORDm
CERTIFICATE OF LIABILITY INSURANCE
OP ID C2 DATI, (MM/DDIYYYY)
.OSHKO-1 01/19/06
THIS CERTIFICATE IS ISSUED AS A MATTER OF INF'ORMATION
ONLY AND CONFERS NO RIGHtS UPON THE CERTlF'ICATE
HOLDER. THIS CERTIFICATE bOES NOT AMENO, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Burkart-Heisdorf Insurance
www.burkart-heisdorf.com
1807 Erie Avenue
Sheboygan WI 53081
Phone: 920-458-6174
INSURED
INSURERS AFFORDING COVERAGE
NAIC#
Oshkosh City Cab Co., Inc.
Mr. . Don DavJ.es
1402 Mount Vernon Street
'Osh~6f3.h.Jn ...54 90 1
COVERAGES
INSURER A: American Country Insurance. CO.
INSURER B: 'AInComp Assurance Corp
INSURER C:
INSURER 0:
INSURER E:
,
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEb: "N(:>TWrrlisTANDING .. ., ......
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 tNSfU TYPE OF INSURANCE POLICY NUMBER ~~~~'i'&~fD1r~E Pgk~CEY(~*l:bRJ'J!.r~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
r-- PREMISES (E~~~~~~nce)
COMMERCIAL GENERAL LIABILITY $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
- i I
GENERAL AGGREGATE $
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS., COMP/OP AGG $
I .nPRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
r-- $ 350000
A ANY AUTO TCAOOO7236 12/31/05 12/31/06 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
'--- $
~ SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
'-- (Per accident) $
NON-OWNED AUTOS
f-- .. . ,., ..
- PROPERTY DAMAGE $
... (Per accident)
GARAGE LIABILITY" ". ... ... .... .. AUTO ONLY - EA ACCIDENT $ ...
R ANY AlJT~" ' '. EA ACC $
, OTHER THAN
AUTO ONLY:
, """, " ". AGG $
EXCESS/UMBRELLA LIABILITY .... EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
==1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I TORY L1Mmi I IU~R'''
B EMPLOYERS' LIABILITY WCV4143949 03/01/05 03/01/06
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $
If yes, describe under .. .. _.._~., - E.L DISEASE" POLICY LllvilT $
SPECIAL PROVISIONS below
OTHER
~.""........>JIW'~' . '7' ,-,,=M~". ~,...,...-,
~ --,-...... ~ 0 \
~~ . l~" ,l
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ~[~\\ l~\
Taxi Cab
r.nv CLERK'S OFfiCI: I
CERTIFICATE HOLDER CANCELLATION -
OSHK-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL TEN DAYS WRITTEN
City of Oshkosh NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. Box 1130 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
215 Church Avenue
Oshkosh WI 54903 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
David Burkart CPCU
ACORD 25 (2001/08)
@ACORDCORPORATION 1988