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HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCE PRAICON-01 ININ ACORDDATE(MM/DD/YYYY) TM CERTIFICATE OF LIABILITY INSURANCE 5/8/2007 PRODUCER (319)366-2723 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TrueNorth® ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 421 4th Ave SE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 1863 Cedar Rapids, IA 52406-1863 INSURERS AFFORDING COVERAGE NAIC# INSURED Prairie Construction Co Inc INSURER A:Cincinnati Insurance Co. PO Box 626 INSURER B:Acuity,A Mutual Insurance Co. Waterloo, IA 50704-0626 INSURER C: INSURER D: 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 NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR.NSRD TYPE OF INSURANCE DATE IMM/DDNYI DATE IMM/DD/YYI GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X X COMMERCIAL GENERAL LIABILITY CPP0814783 5/9/2007 5/9/2008 DAMAGETO RENTED PREMISES(Ea occurence) $ 500,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000 X Contractual liability inc PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PROT LOC JEC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO CPP0814783 5/9/2007 5/9/2008 (Ea accident) X ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 A X OCCUR CLAIMS MADE CPP0814783 5/9/2007 5/9/2008 AGGREGATE $ 5,000,000 $ _ DEDUCTIBLE $ X RETENTION $ None $ WORKERS COMPENSATION AND X TORY LIMIT W R SL TS ER ERM B EMPLOYERS'LIABILITY L61010 5/9/2007 5/9/2008 E.L.EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Waterloo and it's employees are included as additional insured with respect to general liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Waterloo DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 715 Mulberry St. Waterloo, IA 50703- 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. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988