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HomeMy WebLinkAboutTHE HARBOR GROUP INC - INSURANCE CERTIFICATE (3)GY53ua�Eau�E X ADo DATE 5 2 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 cel®anwdsm 41148025 PAwuxaut p� Y 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 ' 00 0 z w