Loading...
HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) CORE" CERTIFICATE OF LIABILITY INSURANCE OP ID VIETHOlA 03/25/10 PRODUCER-� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LSB Financial HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 219 Main St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cedar Falls IA 50613 Phone: 319-268-4242 Fax:319-268-4211 INSURERS AFFORDING COVERAGE NAIC# • INSURED INSURER A. United Fire & Casualty 13021 INSURER B. Vieth Construction Corp INSURER C 6419 Nordic Dr INSURER D. Cedar Falls IA 50613 • 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. 1NSR AUD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 UAMA(it I U HEN I EU A X COMMERCIAL GENERAL LIABILITY 60083340 04/10/10 04/10/11 PREMISES(Eaoccurence) $ 100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 _- - PERSONAL 8 ADV INJURY $ 1,000,000 X XCU Included GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 POLICY)X jE LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 A X ANY AUTO 60083340 04/10/10 04/10/11 (Ea accident) , r ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY X 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 I UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 A j X OCCUR L CLAIMS MADE 60083340 04/10/10 04/10/11 AGGREGATE $ 5,000,000 DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION X I TWC STA I U- OTH- AND EMPLOYERS'LIABILITY A ANYPROPRIETOR/PARTNER/EXECUTIV 60083340 04/10/10 04/10/11 E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under ---------- - - ------ - ----SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER A Leased/Rent Equip 60083340 04/10/10 04/10/11 150,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Project: NHSX-63-6(69)--3H-07, PCC Sidewalk/Trail. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYWAT 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. City of Waterloo 715 Mulberry AUTHORIZ RESENTATIVE Waterloo IA 50703 ACORD 25(2009/01) ©1988-2009 A OR CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD