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Home My WebLink AboutCertificate of Liability Insurance r ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YY) 6/06/06 PRODUCER UNDERWRITERS SAFETY & Cl;:(I~S44-1343 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1700 EASTPOINT PARKWAY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 23790 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. lOUISVlllE. KY 40223 INSURERS AFFORDING COVERAGE INSURED Quest Engineers, Inc. INSURER A: ST. PAUL FIRE &'MARINE INS Ms. Patty VanVooren INSURER B: LIBERTY INSURANCE UNDERWRITERS 2517 Sir Barton Way INSURER C: Ilexington KY 40509-2275 INSURER 0: INSURER E: COVERAGES r 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 TYPE OF INSURANCE POLICY NUMBER ~~~~iJmsy,T~V PR}!f/(~J)~~J~9~ LIMITS L TR A ~ERAL LIABILITY BK01411153 4/1 0/06 4/10/07 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone rlre) $ 300000 - U C'_AIMS MADE [2<J OCCUR MED EXP (Anyone person) $ 10000 f-- PERSONAL & ADV INJ URY $ 1000000 GENERAL AGGREGATE $ 2000000 f-- nL AGGREn LIMIT APPl PER: PRODUCTS - COMP/OP AGG $ 2000000 POLICY j~8i. LOC A AUTOMOBILE LIABILITY BA01411154 4/10/06 4/10/07 COMBINED SINGLE LIMIT 1000000 f-- (Ea accident) $ ~ 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 LlABI LlTY AUTO ONLY. EA ACCIDENT $ ==i ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS LIABILITY BK01411153 4/10/06 4/10/07 EACH OCCURRENCE S 5000000 ~OCCUR D CLAiMS MADE AGGREGATE $ 5000000 $ ~ DEDUCTIBLE $ X RETENTION $ 0 $ A WORKERS COMPENSATION AND WVA2443845 4/10/06 4/10/07 X Ti6~iI~Ys I 10l~ EMPLOYERS' LIABILITY E L. EACH ACCIDENT S 1000000 EL. DISEASE. EA EMPLOYEE $ 1000000 E.L DISEASE. POLICY LIMIT $ 1000000 B OTHER AEE1962660106 4/1 2/06 4/12/07 PROFESSIONAL $2,000,000 PER CLAIM L1ABI L1TY $2,000,000 AGGREGATE DESCRIPTION OF OPERA TIONS/LOCA TIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROJECT: PHASE II DOWNTOWN WWTP EXPANSION RE GENERAL LIABILITY & AUTO LIABILITY: JEFFERSONVILLE SANITARY SEWER BOARD IS ADDITIONAL INSURED IN REGARD TO THE REFERENCED PROJECT. CERTIFICATE HOLDER I I ADDITIONAL INSURED: I NSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION JEFFERSONVilLE SANITARY DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN SEWER BOARD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY -CO BlOG/501 E. COURT AVE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR JEFFERSONVillE IN 47103 REPRE5li.NT A TIVES. I AUTHf~~W ;~ ACORD 25-S (7/97) 5-75 @ ACORD CORPORATION 1988 r- f 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. r '- r ACORD 25-5 (7/97)