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Home My WebLink AboutPARKWAY ELECTRIC & COMMUNICATIONS LLC - INSURANCE CERTIFICATEAC C?R�►rs CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDIYYYY) 09/25/2018 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 have ADDITIONAL INSURED provisions or 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 Van Wyk Risk Solutions 2237 Wealthy Street SE CONTACT Richard Eitman NAME: 'C No Ext : (616)-942-5070 FAX No : (616) 942-8199 E-MAIL ADDRESS: ricke(cbvanwvkcorp.com Suite 200 Grand Rapids, MI 49506 INSURERS AFFORDING COVERAGE NAIC # INSURER A: FRANKENMUTH INSURANCE COMPANY 13986 INSURED Parkway Electric & Communications, LLC, Westshore Industrial Testing, ASCOM-HG, LLC, Hearing Loop Systems, James Street Development INSURER B INSURER C : INSURER D: 11952 James Street INSURER E: Holland, MI 49424 INSURER F : COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMBER: 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 LTR OF INSURANCE ADDLTYPE INSD SUER POLICY NUMBER MM DD/YYYY D MMD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY CPP 3045914 9/30/2018 9/30/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEIV OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300 �� MED EXP (Any one person) $ 5,000 X,C,U CONTRACTUAL PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT V LOC PRODUCTS - COMP/OP AGG $ 2,000,000 1 $ OTHER: A AUTOMOBILE LIABILITY BA 3045914 9/30/2018 9/30/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY MI catastrophic claim $ A UMBRELLA LIAR OCCUR CPP 3077943 9/30/2018 9/30/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I NA RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) NIA WC 3045914 9/30/2018 9l30/2019 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 A AUTO PHYSICAL DAMAGE AND BA 3045914 9/30/2018 9/30/2019 $1,000 DEDUCTIBLE COMPREHENSIVE HIRED AUTO PHYSICAL DAMAGE $1,000 DEDUCTIBLE COLLISION DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS AN ADDITIONAL INSURED PER WRITTEN CONTRACT l.tK 1 R-11,A I t MULUtK t AN1_tLLA I IUN City of Fort Collins 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Y �� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD