HomeMy WebLinkAboutWalk America/07
ACORDTM
DATECMM/DD/YV)
01/12/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIIFICA TE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
Aon Risk services, Inc. of New York
55 East 52nd Street
New York NY 10055
FAX - (866) 467-7847
COMPANY
A
Federal Insurance company
COMPANY
B
zurich American Ins Co
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THIS IS TO CERTIFY THAT THE POLlCI i:;lo~ ~I SURANCE LISTED BELOW H/.H~B.kclN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY ltlu\R ;"'FERM~eR-e0t<1ElI'ft0N'ePANt CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR M 1rii~,,;FI;IE !i!~~€E.-AfeqBiP~~'f;lYjTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SU H tild.lcIPls.'L-nW"l&I3H5WN iJlAt'HAV€'<B"EEN iREDUCED BY PAID CLAIMS.
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POLICY NUMBER . . rOLIC'.' li;FI"ECTWE POLICY EXPIR,\ nON
DATE (MM/DDNY) DATE (MM/DDNY)
TYPE 6F"INSURANCE
LIMITS
CO
LTR
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
camp oed $1000
co 11 oed $1000
0673525021
Automobile - commercial
10/31/06
10/31/07
COMBINED SINGLE LIMIT
$1,000,000
"
oc
$2,000,000 ~
$1,000,000 ~
c
$1,000,000 2
$1,000,000 :::
Lt
$1,000,000 c:
$10 , 000 :z
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A
GENERAL LIABILITY
35812529
package
10/31/06
10/31/07
GENERAL AGGREGATE
PRODUCTS - COMPIOP AGG
PERSONAL & ADV INJURY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
FIRE DAMAGE(Any one fire)
MED EXP (Anv one person)
A
BODILY INJURY
( Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
B EXCESS LIABILITY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
Auc9140274
umbrella Liability
10/31/06
10/31/07
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
ANY AUTO
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
INCL
EL DISEASE-POLICY LIMIT
EL DISEASE-EA EMPLOYEE
EXCL
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Date of Event: 4/28/07-walkAmerica oshkosh. Location: Aurora Health center, 855 N. westhaven Drive, oshkosh, WI
54904.
police Dept. is included as additional insured.
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oshkosh police Department
420 Jackson Street
oshkosh, WI 54902 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~~9>~.!hux, ~.A"_'SI....b