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HomeMy WebLinkAboutMORTON BUILDINGS INC - INSURANCE CERTIFICATE (2),4 o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/21/2018 I 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 Aon Risk Services Central, Inc. Chicago IL Office CONTACT NAME: A/C.. No. Ext): (866) 283 7122 (C No.): (800) 363-0105 E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Ins Co 16S35 Morton Buildings. Inc. INSURER B: American Zurich Ins Co 40142 252 west Adams Street Morton Morton IL 61550 USA INSURER C: Great American Insurance company of NY 22136 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570073157791 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. Limits shown are as requested INSR TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DD /YYYY MMLDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GLO 1 15 1 1 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X❑OCCUR DAMAGE TO RENTED $1,000,000 PREMISES Ea occurrence MED EXP (Any one person) $ 50 , 000 PERSONAL &ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $10,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OPAGG EXCluded OTHER. A AUTOMOBILE LIABILITY BAP 9376314 15 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE HIREDAUTOS NON -OWNED Per accident ONLY AUTOS ONLY c X UMBRELLA LIAB X OCCUR UMB2275621 10/01/2018 10/01/2019 EACH OCCURRENCE $2,000,000 Umbrella Liability AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE SIR applies per policy terns & conditions DED I X RETENTION B WORKERS COMPENSATION AND WC937631115 10/01/2018 10/01/2019 X PER EORH EMPLOYERS' LIABILITY YIN A05 E.L. EACH ACCIDENT $1,000,000 A ANY PROPRIETOR] PARTNER I EXECUTIVE N wc937631215 10/01/2018 10/01/2019 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) NIA Retro MA,WI E. L. DISEASE -EA EMPLOYEE $1,000,000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 31 , 000 , 00U DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Contractors License. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE P.O. BOX 580 Fort Collins, CO 80522-0580 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD