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HomeMy WebLinkAboutCERT OF LIABILITY INSURANCE ...,-. 4 ? ,;A,, ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID JT DATE(MM/DD/YYYY) PRODUCER JACKS-1 09/09/0 8 THIS CERTIFICATEANDCONFERS IS ISSUEDNORIGHTS AS A MATTERUPONTHE OFCERTI INFORMATIONFICATE AHROLD FAY ROSENBERG, INC. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 604 Locust St., Ste. 800 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Des Moines IA 50309-3713 Phone: 515-309-6200 Fax:515-309-6225 INSURERS AFFORDING COVERAGE INSURED NAIC# INSURER A: Cincinnati Insurance Company 10677 Jackson Enterprises Corp. INSURER B: Cedar Valley Corp. INSURERC: 2637 Wagner Road Waterloo IA 50703 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. INSH AUU'L LTR INSR r TYPE OF INSURANCE POLICY NUMBER D TE(MM/DDNY)E P RAY(WagN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X X COMMERCIAL GENERAL LIABILITY CPP0894610 12/01/07 12/01/08 PREMISES(Eaoccurence) $ 100,000 CLAIMS MADE X I OCCUR MED EXP(Any one person) $ 5 0 0 0 X 50 ft excl delete ' PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,0 0 0,0 0 0 POLICY X jE LOC AUTOMOBILE LIABILITY A X ANY AUTO CPA0894610 COMBINED SINGLE LIMIT $ 1,000,000 12/01/07 12/01/08 (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) $ (Per PROPE accidenRTY t)DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 A X OCCUR CLAIMS MADE CPP0894610 12/01/07 12/01/08 AGGREGATE $ 10,000,000 DEDUCTIBLE $ RETENTION $ $ WC WORKERS COMPENSATION AND $ A EMPLOYERS'LIABILITY X TO YSLIMITS I Oa ANY PROPRIETOR/PARTNER/EXECUTIVE WC1918723 12/01/07 12/01/08 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100,000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Waterloo, Wayne Claassen Engineering and Surveying, Inc., Cedar Valley Tech Works & Deere & Company are additional insured on the general liability policy in regards to F.Y. 2008 West Commercial Street Extension River Road Relocation, and Storm Water Pump Station(Base Bid & Alternates 2&3) CERTIFICATE HOLDER CANCELLATION WATER-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Waterloo NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 715 Mulberry St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Waterloo IA 50703 REPRESENTATIVES. AUTHOR D R SENTw VE ACORD 25(2001/08) �l�/J ©ACORD CORPORATION 1988