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Home My WebLink AboutAcord-3/1/2010 (2)From: Stephanie Penaluna At First Iowa Insurance Agency FaxID: 3193933161 To: Jamie Knutson Date: 2/24/2010 09:30 AM Page: 2 of 3 ACORD CERTIFICATE OF LIABILITY INSURANCE ENG S PI -1U DATE (MM/DD/YYYY) 02/24/10 PRODUCER First Iowa Insurance Agency 4201 Glass RD NE, PO Box 997 Cedar Rapids IA 52406-0997 Phone:319-393-5262 Fax:319-393-3161 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 Engineering Consultants, Inc Jeffrey Weiland PO Box 8 322 Cedar Rapids IA 52408 INSURER A:. General Casualty Companies 24414 INSURER B: GENERAL INSURER C: CCX0602160 INSURER D: 02/02/11 EACH OCCURRENCE $1,000,000 X PREMISES(Ea occurence) -INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW RAVE 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. OVJK LTR AUU L NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EH - L I IVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CCX0602160 02/02/10 02/02/11 EACH OCCURRENCE $1,000,000 X PREMISES(Ea occurence) $ 100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 0 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 —I POLICY JET LOC A A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS CBA0602159 CBA0602159 CBA0602159 02/02/10 02/02/10 02/02/10 02/02/11 02/02/11 02/02/11 COMBINED SINGLE LIMIT (Ea accident) $ ]- 000 000 � � X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ -EXLtbbIuMI3RELtAtIABRITY EACH -OCCURRENCE $ 7 OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE REItNTION $ $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below CWC0602158 02/02/10 02/02/11 X TORY LIMITS WI- SIAIU- OER E.L.EACHACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $ 10 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT $500,000 A A OTHER Leased & Rented Installation Fltr CCX0602160 CCX0602160 02/02/10 02/02/10 02/02/11 02/02/11 50,000 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Waterloo is listed as additional insured on the General Liability Policy. CERTIFICATE HOLDER CANCELLATION CITY051 City of Waterloo 715 Mulberry Street Waterloo IA 50703 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) AUTHOR NTATIVE O ACo RD CORPORATION 1988 From: Stephanie Penaluna At: First Iowa Insurance Agency FaxID: 3193933161 To: Jamie Knutson Date: 2/24/2010 09:30 AM Page: 3 of 3 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 ceffificate holder in lieu of such en-cl6rsement(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)