Loading...
HomeMy WebLinkAboutCERT OF LIABILITY INSURANCE ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 03/11/2008 PRODUCER (319) 233-6103 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Sinnott Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 622 West 4th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 1918 Waterloo IA 50704-1918 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:AMCO INSURANCE COMPANY K CUNNINGHAM CONSTRUCTION CO INC INSURER B:NATIONWIDE MUTUAL INS CO INSURER C: 1025 CENTER STREET INSURERD: CEDAR FALLS IA 50613-1409 INSURER E:AGENCY FAX #319-234-8133 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(MMIDDIYY) DATE(MM/DD/lY) A GENERAL LIABILITY ACP MCTO 7160048775 04/20/2008 04/20/2009 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) CLAIMS MADE X OCCUR / / / / MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 / / / / GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 I POLICY X JECT LOC / / / / B AUTOMOBILE LIABILITY ACP BA 7160048775 04/20/2008 04/20/2009 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO ALL OWNED AUTOS / / / / BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS / / / / BODILY INJURY $ (Per accident) NON-OWNED AUTOS / / / / PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO / / / / AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY ACP CAA 7160048775 04/20/2008 04/20/2009 EACH OCCURRENCE $ 4,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 4,000,000 $ DEDUCTIBLE / / / / $ RETENTION $ $ WC STATTH B WORKERS COMPENSATION AND ACP WC 7160048775 04/20/2008 04/20/2009 X TORYLIMITSU- O - ER EMPLOYERS'LIABILITY SOO,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? / / / / E.L.DISEASE-EA EMPLOYEE$ 500,000 If yes,describe under 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER / / / / / / / / / / / / DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CITY OF WATERLOO IS LISTED AS AN ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY. JOB F.Y. 2007 CYCLONE DRIVE/TITAN TRAIL CONTRACT NO. 727 CERTIFICATE HOLDER CANCELLATION ( ) - (319) 2 91-4 2 6 2 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 CITY OF WATERLOO FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. 715 MULBERRY ST AUTHORIZED REPRESENTATIVE WATERLOO IA 50703- --- ACORD 25(2001/08) ©ACORD CORPORATION 1988 o,h,INS025(0108).05 ELECTRONIC LASER FORMS,INC.-(800)327-0545 Page 1 of 2 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 certificate holder in lieu of such endorsement(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) �GrMH INS025 lo1o8i.05 Page 2 of 2