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Home My WebLink Aboutcertificate of Liability Insurance ~- LIABILITY INSURANCE I DATE (MMIDDfYYYY) ACtJR/J,. CERTIFICATE OF OPID 2Y BEAML01 12/27/07 PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hylant of Indianapolis, LLC , HOLDER. THIS CERTIFICATE [)OESNOT AMEND, EXTEND OR Y-"'1. Congressional Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,me 1 IN 46032 pnone:800-678-0361 Fax:317-817-5151 ,--- INSURERS AFFORDING COVERAGE NAIC# ._- -. INSURED i INSURER A: Valley Forge Insurance Co 020508 INSURER B: National Surety Corporation 21881 Beam Longest & Neff LLC " INSURER C: National Fire Ins Co-Hartford 024078 James B. Longest 8126 Castleton Road INSURER D: Continenta1 Casualty Company 020443 Indianapolis IN 46250 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR-TI-fEPOLlCYPERIOoiNDlCATED. NOTWITHSTANtllNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C~R"nFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDitiONS OFSU'CH' POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !' LTR NSR[ TYPE OF INSURANCE POLICY NUMBER i PD~If~jJ~rJrij~!XE PgkfEY{~~lft,?tgN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - A X COMMERCIAL GENERAL LIABILITY TCP2025516084 --, 12/15/07 12/15/08 ~~E~~~~ (E~~~~';~nce) $ 300,000 I CLAIMS MADE ~ OCCUR ~ED EXP (Anyone person) 1$ 10,000 -- e-- PERSONAL & ADV INJURY ~$ 1,000,000 I I----n-. e-- GENERAL AGGREGATE $ 2,000,000 n'L AGGREGATE LIMIT APrilS PER: PRODUCTS - COMP/OP AGG $ 2,000,000 -nPRO. POLICY JECT X LOC _0' j AUTOMOBILE LIABILITY e-- COMBINED SINGLE LIMIT $1,000,000 C ~ ANY AUTO BUA2025516036 12/15/07 12/15/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - C ~ HIRED AUTOS BUA2025516036 I 12/15/07 12/15/08 BODILY INJURY $ C ~ NON-OWNED AUTOS BUA2025516036 12/15/07 12/15/08 (Per accident)_ -- PROPERTY DAMAGE $ . (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 B tJ OCCUR 0 CLAIMS MADE XAUB0587637 12/15/07 12/15/08 AGGREGATE $ 10,000,000 $ R DEDUCTIBLE $ RETENTION $10000 $ WORKERS COMPENSATION AND X I TORY LIMITS I IUJR' C EMPLOYERS' LIABILITY WC2025516294 12/15/07 12/15/0B $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFiCERfM::::MCCR EXCLUDED? ,E:~Y~~ASE . EAEMPLOYEE~500 , 000 If yes, describe under SPECIAL PROVISIONS below . E.L. DISEASE - POLiCY"LIMIT I$SOC), (Joe' OTHER D A&E PROF LIABILITY AEAOOB2154B6(OB) 01/06/0B 01/06/09 LIMIT $3,000,000 DED. $125,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is named as Additional insured as respects to General I Liability regarding the following project: Jeffersonville P.,9:E~ and Ride - Construction of a new park and ride lot loc;:ated at Exit 1, I-65 in Jeffersonville, IN - Project #CM-9910 COVERAGES CERTIFICATE HOLDER CANCELLATION JEFFE-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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 ~. Jeffersonville, Indiana 501 E Court Avenue Jeffersonville IN 47130 @ACORD CORPORATION 1988 ACORD 25 (2001/08) . 'ACORD,M 'I'. ,t<<,:'xf . '. CERTIFICATE OF LIABILITY INSURANCE OPID 2Y' DATE (MMIDDNYYY) . 1 ' , ".. BEAML01 12 27/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Hylant of Indianapolis, LLC ~t Congressional Blvd mel IN 46032 Pnone:800-678-0361 Fax:317-817-5151 INSURED INSURER A: Continen tal Casual ty Co % CNA NAIC# 020443 INSURERS AFFORDING COVERAGE Beam, Longest & Neff, Scot~ Kluesner 8126 Castleton, Road Indianapolis IN 46250 COVERAGES L.L.C. 'I , INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME9i\BOVEFORTHE ,:,OLICYPERIOD1NDICATED. t'lOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENf!WITI-IR"ESPECTTO~HICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS suBjEct iO'ALL THE'TERMS:E)((';'(O'SIONS AND COJ\lDITIONS OF SOCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' LTR NSR[ TYPE OF INSURANCE POLICY NUMBER PDl}.'4~iJ~fJtf~E Pgk~CEYI~~bRD~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - COMMERCIAL GENERAL LIABILITY ~~:m;S'Es (E~~~~~~nce) $ [ CLAIMS MADE D OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ I----- -- I----- GENERAL AGGREGATE $ n'L AGGREGATE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ I .nPRO- POLICY JECr ,. LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - .~. PROPERTY DAMAGE $ .. (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ , AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ~ OCCUR D CLAIMS MADE AGGREGATE $ $ ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ITb'~yS~I~WS I IUER- EMPLOYERS' LIABILITY EL EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes. describe under EL DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER 1 A ARCHITECTS/ENG: AEAOO~821~54-86(b8) 01/06/08 01/06/09 EachClaim $ 3,000,000 PROFESSIONAL LIAB $125,000 DED. I , Aggreqate $ 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 1 I .. CERTIFICATE HOLDER JEF~-l ! CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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 ~ I Jeffersonville, Indiana 501 E Court Avenue Jeffersonville IN 47130 ACORD 25 (2001/08)