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ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY)
02/13/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Monroe Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
15th & Oregon Streets ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 2467
Oshkosh, WI 54903-2467 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Scottsdale Insurance Company
, ,
Oshkosh Yacht Club, 'tne.' INSURER B:
P.O. Box.874 INSURER C:
OShkos,h, WI 54903
"".,. 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.
INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION
L TR I POLICY NUMBER I LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 00 OCCUR
CLS 1295523
12/02/2006
12/02/2007
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO.
LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS/UMBRELLA LIABILITY
OCCUR D CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
'UFFlC'ERlIiilE1VlBER'EXCIIJClECl1 .. "_'0'
If yes, describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
$
$
$
$
$
$
1,000,000
100,000
5,000
1,000,000
1,000,000
1,000,000
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS. COMP/OP AGG
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACe $
AUTO ONLY: AGG $
EACH OCCURRENCE $
AGGREGATE $
$
$
$
$
E.L. DISEASE. EA EMPLOYEE: $
E.L. DISEASE. POLICY LIMIT $
City of Oshkosh Parks Department
Attn: Trish Wendorf
215 Church Avenue
Oshkosh, WI 54901
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlm
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTE'
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 01
ACORD 25 (2001/08) 0 ~\ Ie,
ACORD CORPORATION 198