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HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) CSR CF ACORD CERTIFICATE OF LIABILITY INSURANCE PRIES-1 12/31/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE First Iowa Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4201 Glass RD NE, PO Box 997 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cedar Rapids IA 52406-0997 Phone: 319-393-5262 Fax:319-393-3161 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: United Fire & Casualty Co. 13021 INSURER B: Liberty Mutual Ins. Corp. Pries Roofing INSURERC: Harold & Carol Pries 7544 E. Reinbeck Road INSURER D: LaPorte City IA 50651 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 UAMAGE IURhNItU $ 100 000 A X COMMERCIAL GENERAL LIABILITY 60329687 12/31/09 12/31/10 PREMISES(Ea occurence) r CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 i PERSONAL&ADV INJURY $ 1,000,000 ' GENERAL AGGREGATE $2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 PRO- LOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A ANY AUTO 60329687 12/31/09 12/31/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG 1$ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $2,000,000 A X OCCUR CLAIMSMADE 60329687 12/31/09 12/31/10 AGGREGATE $2,000,000 $ DEDUCTIBLE X RETENTION $10,000 H_ $ WORKERS COMPENSATION AND X TORY L MIITS U- UER B EMPLOYERS'LIABILITY # PENDING 12/31/09 12/31/10 E.L.EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E L.DISEASE-EA EMPLOYEE $500 OOO OFFICER/MEMBER EXCLUDED? i • If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER A Installation Fltr 60329687 12/31/09 12/31/10 Limit $150,000 Ded. $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Gates Park Pro Shop Roof Replacement CERTIFICATE HOLDER CANCELLATION CITY051 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 City of Waterloo IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 715 Mulberry Street Waterloo IA 50703-5783 REPRESENTATIVES. A9 r ED R Fr ENTE ACORD 25(2001/08) ©ACORD CORPORATION 1988