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Home My WebLink AboutKrohns Paper DATE (MMIDDIYY) 01/03/05 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER ~'::::~t)' 920-235-34501920-232-873 COMPANY FirstChoice Ins Agy of WI, Inc 338 Pearl Avenue Oshkosh WI 54903-0766 SUSAN J. ANDREWS CODE: 48- 039 SUB CODE: ~U~~O~ER ID #: KROHNPA INSURED Cincinnati Insurance Company P. O. Box 145496 Cincinnati OH 45250-5496 Krohn's Paper, MJS Limited LLC attn: Jill Schlichting 30 W 8th Ave Oshkosh WI 54902 EFFECTIVE DATE CPP0660026 EXPIRATION DATE CONTINUED UNTIL TERMINATED IF CHECKED LOAN NUMBER POLICY NUMBER 08/07/02 08/07/05 THIS REPLACES PRIOR EVIDENCE DATED: LOCA T10NIDESCRIPTION 001 PAPER OUTLET STORE 30 W. 8TH AVENUE OSHKOSH WI 54901 Premise 001 BUSINESS BUSINESS BUILDING Building 001 PERSONAL PROPERTY INCOME & EXTRA EXPENSE 100000 25000 350000 250 250 BUILDING OWNER CITY OF OSHKOSH ATTN: CITY ATTORNEY'S OFFICE 215 CHURCH AVE OSHKOSH WI 54901-4747 AUTHORIZED REPRESENTATIVE -t ~",' ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID R9 DA TE(MM/DDIYYYY) KROHNPA 01/03/05 PRODUCER , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FirstChoice Ins Agy of WI, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 338 Pearl Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oshkosh WI 54903-0766 Phone: 920-235-3450 Fax:920-232-8731 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Cincinnati Insurance Company Krohn's pa~er INSURER B: Cincinnati Casualty 28665 MJS Limite LLC INSURER C: Attn: Jill Schlichting 30 W 8th Ave INSURER D: Oshkosh WI 54902 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. NSR[ POLICY NUMBER P&.'4~lJ~rtf8~E POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE DATE (MMIDDIYY) GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - A X COMMERCIAL GENERAL LIABILITY CPP0660026 08/07/02 08/07/05 UAMA\je I U KeN I eU $ 100,000 PREMISES (Ea occurence) I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 1 ,0 000,000 GENERAL AGGREGATE $1,,000,000 - GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $1,,000,000 h n PRO- "Il POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ~ - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) ~ - HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) - .,', PROPERTY DAMAGE ---J (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =l ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY , EACH OCCURRENCE $ ~ OCCUR D CLAIMS MADE AGGREGATE $ $ =l DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I TORY LIMITS I IUER- B EMPLOYERS' LIABILITY WC8952231 08/07/04 08/07/05 $ 100,000 ANY PROPRIETORiPARTNER/EXECUTlVE E.l. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $100,000 If yes, describe under $ 500,000 SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CITY OF OSHKOSH CITY ATTORNEY'S OFFICE 215 CHURCH AVE OSHKOSH WI 54901-4747 CANCELLATION CITY003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CERTIFICATE HOLDER ACORD 25 (2001/08)