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This certificate is issued as a matter of information only and confers no r'
afforded b the olicies listed below.
This is to certify that (Name and address of Insured)
STS ACQUISITION CO. DBA
STS CONSULTANTS, L TO
1035 KEPLER DR
GREEN BAY, WI 60061-3153
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is, at the issue date of this certificate, insured by the Company under the policy'
lsted below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and
is not altered bv anv reauirement, term or condition of anv contract or other document with respect to which this certificate mav be issued.
ExPiration Tvpe EXDiration Date(s) Policv Number(s) Limits of Liabilitv
Continuous * 07/0112006 WC2-141-434549-0 15 Coverage afforded under WC law of Employers Liability
- the following states:
- Extended Bodily Injury By Accident
X Policy Term All States Except Monopolistic States $500,000 Each Accident
Bodily Injury By Disease
$500,000 Policy Limit
Workers Compensation Bodily Injury By Disease
$500,000 Each Person
07/0112006 TB2~ 141-434549-035 General Aggregate-Other than Prod/Completed Operations
General Liability $2,000,000
Products/Completed Operations Aggregate
~ Claims Made $2,000,000
X Occurrence Bodily Injury and Property Damage Liability Per
$1,000,000 Occurrence
I Retro Date I Personal and Advertising Injury Per Person /
$1,000,000 Oreanization
Other Liability I Other Liability
07/0112006 AS2-141-434549-025 Each Accident - Single Limit - B. I. and P. D. Combined
Automobile Liability $1,000,000
Each Person
-.!.. Owned
-.!.. Non-Owned Each Accident or Occurrence
X Hired
Each Accident or Occurrence
07/01/2006 THl-141-434549-045 UMBRELLAlEXCESS $5,000,000
07/0112006 YU2-K4L-434549-065 PROPERTY $26,296,284
C ANY AND ALL WORK IN TIlE CITY OF OSHKOSH ADDITIONAL INSUREDS: CITY OF OSHKOSH, AND ITS OFFICERS, COUNCIL MEMBERS, AGENTS,
0 EMPLOYEES, AND AUTIIORlZED VOLUNTEERS. TIlE INSURANCE PROVIDED TIlE ADDITIONAL INSUREDS UNDER THE ABOVE POLICIES SHALL BE
M PRIMARY AND NOT EXCESS OVER OTHER VALID, APPLICABLE AND COLLECTIBLE INSURANCE IN FORCE FOR TIlE ADDITIONAL
M INSUREDS.
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*If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of
the continuation of coverage.
Special Notice _ Ohio: Any person who, with intent to defraud or knowing that he / she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or
deceptive statement is guilty of insurance fraud.
Important information to Florida policyholders and certificate holders: in the event you have any questions or need information about this certificate for any reason, please contact your local sales producer,
whose name and telephone number appears in the lower left corner of this certificate. The appropriate local sales office mailing address may also be obtained by calling this number.
Notice of cancellation: (not applicable unless a number of days is entered below). Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above
policies until at least 30 days notice of such cancellation has been mailed to:
.......-;::-; - .'. ""-<<'/:;~..;-:. . '.' "
Office: BROOKFIELD, WI Phone: 262-782-9500 .d..).{?...({,. <. ~ !../,. . ..,U....e?~. ..,.,
..."..... .. ..I.;i',..4....,.. . ....'.. . ." ~-..'.... ..-t.... -.;:.. :~....40...........
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Certificate Holder: DENISE KRUEGER
CITY OF OSHKOSH Authorized Representative
215 CHURCH STREET
P.O. BOX 1130
OSHKOSH, WI 54902-1130
Date Issued: 06/27/2005 Prepared By: DK