HomeMy WebLinkAboutTHE HARBOR GROUP INC - INSURANCE CERTIFICATE (3)GY53ua�Eau�E
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CERTIFICATE OF LIABILITY INSURANCE 08/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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).
PRODUCER 1-800-247-7756 CONTACT
Holmes Murphy 6 Assoc - NIGH PHONE _ FAX
A1C— -
(. No, EaO: INC, No):,
PO Box 9207 E41AIL
ADDRESS:,
Dee Moines, IA 50306-9207 _ INSURER(S) AFFORDING COVERAGE NAIC0
INSURER A: EmIpioyers mutual Casualty Co.
INSURED INSURER B: St. Paul Fire 6 marine
The Harbor Group. Inc. -- _-- -- - - - -—
(See Attached Named Insured List) INSURERC: Employers Mutual Casualty Co.
Attn: Scott Peterson INSURER D: Great American Insurance Company of NY
P.O. Box 260 _ _
Sioux Center, IA 51250-0260 INSUREERR E:
INSURER F:
PnUPOAnFR CFRTIFICeTF NIIMRFR• 41148025 RFVIRION NUMRFR-
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR -- - ---- IADDUSUBRI -" - - POLICYEFF POUCYEXP -
Lm TYPE OF INSURANCE I POLICY NUMBER MMIDDNYYY MMMDNYYY LIMITS
A
GENERAL LIABILITY
3DIB94915
09/01/14
09/01/151
EACH OCCURRENCE
$1,000,000
_Y.
ICOMMERCIAL
DAMAGE TO RENTED
500, 000
GENERAL LIABILITY
PREMISES (Ea owwrmo)
3
ICLAIMS MADE IXI OCCUR
MED EXP(Any weperew)
$10,000
x %CU Included
PERSONAL BApV INJURY
$ 1,000,000
G_ENERALAGGREGATE
$ 2,000,000
G_EN'L AGGREGATE LIMIT APPLIES PER.
PRODUCTS -COMPIOP AGG
$2_•000,000
X PRO"
I
$
POLICY iFcT LOC
IL
AUTOM081LE LIABILITY
3E1S94914
09faill
09101/15
COMBINED SINGLE LIMIT
$ 1,000,000
XANT AUTO
BODILY INJURY (Per person()
$
ALLOWNED SCHEDULED
_�
BODILY INJURY (Per acciden0
$
AUTOS AUTOSNON�
_ _
_
D
%
GE
$
_X HIREDAUTOS AUTOS
(PPRmaEodent)
Ili
I
$
S
X
UMBRELLA LIAR X OCCUR
ZUP1dS6602914"
09/01/14
09/01/15
EACH OCCURRENCE
I$
EXCESS UAB CLAIMS MADE
AGGREGATE
15,000,000
DE I X I RETENTION S 10, 000
_ _
_
$
C
WORKERS COMPENSATION
3P1594915
09/Ol/14
09/Ol/15
WCSTATU- OTH
%I WCST MITSI. ER
AND EMPLOYER$'LIABILITY YIN
A
ANY PROPRIFTORNANTNERIEXECUTNE
3Y1594915
09/Ol/14
09/Ol/1$
E.L. EACH ACCIDENT
$ 500, 000
OFFICERPRIET REXCLUDED? N❑
NIA
--
-
(Mandelory In A
E.L. DISEASE - EA EMPLOYEFT
$ 500, 000
N yes, deswbe under
--
500,000
0 SCRIPTION OF OPERATIONS bebw
E.L. DISEASE -POLICY LIMIT
S
D
ZDetallation Floater
1"59248B108
09/01/14
09/001/15
$2,500 Deductible 2,500,000
A
Rented/Lea9ed Equipment
3CSB94914
09/O1/li
09/01/16
$2, 500 Deductible 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaecb ACORD 101, AddRbnal Remadus Schedule, If mom apace Is rewind)
Cancellation Clause: 30 Days Notice Except for Non Payment of Premium
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
y of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Box 580 AUTHORIZED REPRESENTATIVE
t Collins, CO 80522-0580
I USA
(r) 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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41148025
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SUPPLEMENT TO CERTIFICATE OF INSURANCE oeiDATEasiaola
n;unc ur lnJuntu: The Harbor Group, Inc.
See Attached Named Insured List
Me Harbor Group, Inc.-
'2lnterstates Engineering, Inc.-
31nterstates Control Systems, Inc.-
6lnterstatee Electric 6 Engineering Co.-
51nterstates Construction Services, Incorporated-
61BBC of California, Inc.-
71EEC Transportation A Leasing Co.-
HEEC Enterprises Co.-
9lnterstates Foundation-
101nterstates Electric & Engineering Co., Inc. dba IEEC of Texas, Inc.-
llinterstates Electric 6 Engineering Co., Inc. dba IEEC of Illinois, Inc.-
121nterstates Electric & Engineering Co., Inc. dba IEBC of Oregon, Inc.-
131nterstates Electric i Engineering Co., Inc. dba IEEC of Arizona-
14IEEC International, Ltd.-
151BEC International, Inc.-
16Harbor Engineering Group, L1,C-
17Earbor Group Investments, LLC-
18Earbor Management, LLC-
191aterstates Construction Services, Inc. dba IC of Nebraska, Inc.-
201nterstates Construction Services, Inc. dba IC of Arizona, Inc.-
21Enterstates Construction Services, Inc. dba IC of Teras, Inc.-
221nterstates Instrumentation, Inc.-
231nterAir, LLC-
2tHarbor Consulting Group, Inc.-
25Harbor Engineering Group, PLC-
261nterstates Construction Services, Inc. dba IC of Illinois, Inc.-
271aterstates Construction Services, Inc. dba IC of Oregon, Inc.-
281C of Wyoming, L.L.C.-
291nterFab, L.L.C.-
30Besert View Electric Services, LLC-
31Harbor Insurance Trust, Inc.-
32 Interstates Engineering, Inc. dba IBI of TE Inc-
33 Interstatee Engineering, Inc. dba CA IBI, Inc-
34 Interstates Engineering, Inc. dba Iowa Intarstates Eng-
35 -Interstates Engineering, Inc. dba IEI of Minnesota '
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