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Home My WebLink About162366 CARL WALKER INC - INSURANCE CERTIFICATEACORA CERTIFICATE OF LIABILITY INSURANCE D12/18/2007 PRODUCER 800-969-4041 'FAX 800-969-4081 Professional Concepts Insurance Agency Inc. 1127 S. Old US Highway 23 9 Y Brighton, MI 48114 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 INSURERS AFFORDING COVERAGE NAIC # INSURED Carl Walker, Inc. 5136 Lovers Lane Suite 200 Kalamazoo, MI ,49002 --Covers All Offices- INSURER Hartford Fire Insurance A+ Best Rtng. INSURER Hartford Underwriters Ins. Co.A+ Best Rtng. INSURER Hartford Fire Insurance A+ Best Rtng. INSURER XL Specialty A+ Best Rtng. INSURERS rnvcDAccc 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 NDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIO14 LIMITS GENERAL LIABILITY 35SBWRU0693 12/31/2007 12/31/2008 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENER11--AL DAMAGE TO RENTED $ 300, OOO ��LIABILITY CLAIMS MADE L_' OCCUR MED EXP (Any one person) $ 10,000 A X X X , C , U PERSONAL & ADV INJURY $ 1,000,000 X Contract. Llab. GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ 2,000,000 POLICY X PJECTRO LOC AUTOMOBILE LIABILITY ANY AUTO 3SUEGAF3505 12/31/2007 12/31/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY 3 SSBWRU0693 12/31/2007 12/31/2008 EACH OCCURRENCE $ 5,000,000 X OCCUR O CLAIMS MADE AGGREGATE $ 5,000,000 A X $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 3SWEGPN3645 12/31/2007 12/31/2008 OTH- 1 X WCSTATU- I EEL IMIt TORYACCIDENT C EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WAIVER OF SUBROGATION APPLIES E L EACH $ 1 . 000 , 000 E L DISEASE - EA EMPLOYEd $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT 1 $ 1,000,000 D THyessional Pro Liability/Contractors ollution Liability DPR9607047 10/15/2007 10/15/2008 Limit: $2,000,000 Each Claim $2,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project #: R3-2006-017. ity of Fort Collins is named as Additional Insured as respects to General Liability only and would apply to the above named project so long as required within a written contract. r F:PTIFIr ATF Nnl nFD rAmirri 1 ATIn KI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn: Second Floor 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 215 North Mason Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P. O. BOX 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 Michael Cos rove F i ACORD 25 (2001/08) �i .� , / G©AORD C(,RRfl�2/1illgr IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing msurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25 (2001/08) ACORD,M CERTIFICATE OF LIABILITY INSURANCE i2118/20071 PRODUCER 800-969-4041 FAX 800-969-4081 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Professional Concepts Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1127 S. Old US Highway 23 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9 Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Brighton, MI 48114 INSURED Carl Walker, Inc. 5136-Lovers Lane - Suite 200 Kalamazoo, MI 49002 Covers All Offices° COVERAGE INSURERS AFFORDING COVERAGE NAIC # INSURER Hartford Fire- Insurance A+ Best I INSURER Hartford Underwriters Ins. Co.A+ Best I INSURER Hartford Fire Insurance A+ Best I INSURER XL Specialty A+ Best I INSURER E 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 SHOWRMAY HAVE BEEN REDUCED BY PAID CLAIMS INSR NDD*L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 35SBWRU0693 12/31/2007 12/31/2008 EACH OCCURRENCE Is 1,000,000 X COMMERCIAL GENERAL LIABIL ITV DAMAGE TO RENTED $ 300,000 CLAIMS MADE O OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 A X X , C , U X Contract. LTab., GENERAL AGGREGATE $ 2,000,000 GENE AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY X PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO 3SUEGAF3505 12/31/2007 12/31/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS - PROPERTY DAMAGE (Per accident) $ _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY 35SBWRU0693 12/31/2007 12/31/2008 EACH OCCURRENCE $ 5,000,000 X OCCUR O CLAIMS MADE AGGREGATE $ 5,000,000 $ A $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 35WEGPN3645 12/31/2007 12/31/2008 X WC nRYSTATu- OTH- C EMPLOYERS' LIABILITY PNv PROPRIETOR/PARTNER'EXECUTIVE OFFICERIMEMBER EXCLUDED? WAIVER OF SUBROGATION APPLIES EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYE $ 1,000,000 S yes, ALPRdescribe PROVISIONS SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT $ 1,000,000 D roessional iability/Contractors ollutTon Liability DPR9607047 10/15/2007 10/15/2008 Limit: $2,000,000 Each Claim $2,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project #: R3-20077-037. Tty of Fort Collins is named as Additional Insured as respects to General Liability only and would apply to the above named project so long s required within a written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLENDEAVOR TO MAIL Second Floor 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 215 North Mason Street BUT FAILURE TO MAIL SUCH NOTIC E SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX 580 OF ANY KIND UPON THE INSURER, ITS AG4TS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Fort Coll -ins, CO 80522i 0580 Michael Cosgrove I S ACORD 25 (2001/08) / RD CORPOR 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement ` on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25 (2001/08)