HomeMy WebLinkAboutFarmers Market/07
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DATE (MM/DD/YYYY) q'
01/02/2007 q
PRODXg~Risk services, Inc. of Illinois
200 East Randolph
chicago IL 60601 USA
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
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INSURERS AFFORDING COVERAGE
NArc #
FAX-(847) 953-5390
PHONE.(866) 283-7122
26344
21121
Great American Assurance company
westchester Fire Insurance Co
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INSURER A:
INSURER B:
INSURED
Rotary International
Attn: Risk Management Department
1560 sherman Avenue
Evanston IL 60201-3698 USA
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 MAYBE 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
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:;. : B EXCESS /UMBRELLA LIABILITY
,. ".' , ~ OCCUR 0 CLAIMS MADE
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,.'. 0 TJ,9l'ipF ~P~~AT~ONSILOCATIONSIVEHlCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISlONS
". R ay Farmer~ Market on May 5, 2007 to Oct. 27, 2007 at ci ty Hall parki ng Lot, oshkosh, WI 54901. The
C., e Holder. 15 included as an Additional Insured with respect to the General Liability policy. Rotary
of;d~~~pj~~~so~tbw,~st, District #6270.
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INSURER c:
INSURER 0:
INSURER E:
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFEcnv~ POLICY EXPIRATION
DATE(MMIDDlYY) DATE(MMIDDlYY)
07/01/06 07/01/07
EACH OCCURRENCE
$750,000
$750,000
$750,000 \0
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$1,500,000 M
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LIMITS
GLP9251830
GENERAL LIABILITY
~ COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR
X SIR $250,000
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DAMAGE TO RENTED
PREMISES (Ea occurencc)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
m POLICY 0 PRO- 0 LOC
LJ JECT
PRODUCTS - COMP/OP AGG
Liquor Liability
A
AUTOMOBILE LIABILITY
~ ANY AUTO
I-- . ALL OWNED AUTOS
GLP9251830
07/01/06
07/01/07
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
( Per person)
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X
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SCHEDULED AUTOS
HIRED AUTOS
BODILY INJURY
(Per accident)
NON OWNED AUTOS
SIR $250,000
PROPERTY DAMAGE
(Per accident)
AUTO ONLY. EA ACCIDENT
GARAGE LIABILITY
B ANY AUTO
OHlER THAN
AUTO ONLY:
EA ACC
AGG
07/01/07
EACH OCCURRENCE
$5,000,000
$5,000,000
G22023032001
07/01/06
AGGREGATE
WORKERS COMPENSA nON AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/ PARTNER / EXECUTIVE
OFFICERlMEMBER EXCLUDED?
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DISEASE-POLICY LIMIT
IIC STATU. I 10TH-
ORY LIMITS IER
EACH ACCIDENT
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72007 hIE.
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DISEASE.EA EMPLOYEE
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I[yes. describe under SPECIAL PROVISIONS
below
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club
.05 kosh
a-rk.be'pf.
'F~h;Ayenue
~I." '54901 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA nON
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTlFlCA TE 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
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