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HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCE ACORD CERTIFICATE OF LIABILITY INSURANC5SR JH DATE(MM/DDNY) ORWI-1 04/20/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PDCM Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 2597 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Waterloo IA 50704 Phone: 319-234-8888 INSURERS AFFORDING COVERAGE INSURED INSURER A: Westfield Companies INSURER B: Borwig Building Service, Inc. INSURERC: 432 W. Parker INSURER D: Waterloo IA 50703 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CWP3352410 04/21/01 04/21/02 FIRE DAMAGE(Any one fire) $ 150,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 X Care,Custody 5000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY A ANY AUTO CWP3352410 04/21/00 04/21/01 COMBINED SINGLE LIMIT $ 1�000i 000 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 A X I OCCUR ❑ CLAIMSMADE CWP3352410 04/21/01 04/21/02 AGGREGATE $ 1,000,000 DEDUCTIBLE $ X RETENTION $ 0 $ WORKERS COMPENSATION AND TORYS LIMITS ER A EMPLOYERS'LIABILITY WCP5412836 04/21/01 04/21/02 E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Project: F.Y. 2000 Bridge Painting & Repair Program, Contract #598, City of Waterloo is named as additional insured to general liability CERTIFICATE HOLDER y IADDITIONAL INSURED;INSURER LETTER: CANCELLATION WTCI0 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL City of Waterloo IMPOSE NO OBLIGAT N OR LIABILITY OF ANY KIND UP N THE INSURER,ITS AGENTS OR 715 Mulberry Street REPRESENT TIVE . Waterloo IA 50703 Ste he A�Cb CIC ACORD 25S(7/97) ©ACORD CORPORATION 1988