HomeMy WebLinkAboutAppleton Yellow Taxi
ACORD~ CERTIFICATE OF LIABILITY INSURANCE;ppr~~2MT I DATE (MMIDDIYY)
-,--...;- 06/12/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
KROPP INSURANCE AGENCY, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6300 LINCOLN AVE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MORTON GROVE IL 60053-
Phone: 847-965-2330 Fax:847-965-2773 INSURERS AFFORDING COVERAGE
INSURED INSURER A: AMERICAN COUNTRY INSURANCE CO
INSURER B: .
Appleton Yellow Taxi INSURER C:
Paul Davies
P.O. Box 82 INSURER 0:
Appleton WI 54912-0082
I INSURER E:
COVERAGES
THE POLICY PERIOD INDICATED. NOTWITHSTANDING
WHICH THIS CERTIFICATE MAY BE ISSUED OR
E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
LI MITS
EACH OCCURRENCE
$
$
$
$
$
PRODUCTS. COMPIOP AGG $
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
C\TV
PERSONAL & ADV INJURY
GENERAL AGGREGATE
LOC
A
ANY AUTO
ALL OWNED AUTOS
X SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
BAU0002950
06/16/07
COMBINED SINGLE LIMIT
06/16/08 ~aa~~~Q
$ 500,000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
EXCESS LIABILITY
OCCUR 0 CLAIMS MADE
AUTO ONLY. EA ACCIDENT $
EA ACC $
$
$
$
$
$
$
AGG
GARAGE LIABILITY
ANY AUTO
OTHER THAN
AUTO ONLY:
EACH OCCURRENCE
AGGREGATE
DEDUCTiBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LtABILITY
$
E.L. DISEASE. EA EMPLOYEE $
E.L. DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
SEE SCHEDULE ATTACHED.
CERTIFICATE HOLDER
N ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
o SHKOO 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
ILL ENDEAVOR TO MAIL ...lQ.... DAYS WRITTEN
/
/.
ORPORATION 1988
CITY OF OSHKOSH
P.O. BOX 1130
215 CHURCH AVE.
OSHKOSH WI 54903
ACORD 25-S (7/97)
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