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HomeMy WebLinkAboutWells Fargo Insurance122123000 ACORD~ CERTIFICATE OF LIABILITY INSURANCE °ATE(MM,°D/YYYY) 5/21 /2009 PRODUCER Wells Fargo Insurance Services of KY 950 Breckenridge Lane, Suite 50 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. P O Box 7809 (40257-0809) Louisville, KY 40207-4675 INSURERS AFFORDING COVERAGE NAIC # INSURED CRS Demolition LLC INSURER A: Burlington Ir1SUranCe Company 23620 1520 Al i P k INSURER B: Westfield Insurance Company 24112 gonqu n ar way INSURER c: Landmark American Insurance Company 35637 INSURER D: KEMI LOUISVIIIe, KY 4021 O INSURER E: CAVFROGFS 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. IN R LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY HGL0020063 11/14/08 11/14/09 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 P E 7 LOC POLICY B AUTOMOBILE LIABILITY TRA4396761 04/23/09 04/23/10 COMBINED SINGLE LIMIT 00 000 $ (Ea accident) 1, 0, X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS x $500 Ded Comp PROPERTY DAMAGE X $500 Ded Coll (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ C EXCESS/UMBRELLA LIABILITY LHA046673 11/14/08 11/14/09 EACH OCCURRENCE $ 5,000,000 X OCCUR ~ CLAIMS MADE AGGREGATE $ 5,000,000 DEDUCTIBLE $ RETENTION $ $ WC STATU- OTH- x D WORKERS COMPENSATION AND 363350 05/19/09 05/19/10 RY LIM EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER B Contractors Equipment TRA4396761 04/23/09 04/23/10 As Scheduled / $1,000 Deductible B Leased/Rented Equipment TRA4396761 04/23/09 04/23/10 $350,000 Limit / $1,000 Deductible DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Certificate holder is named as additional insured as required by written contract, but only with respect to general liability arising out of the named insureds operations. City of Jeffersonville 500 Quarter Master Jeffersonville, IN 47130 ecnRn ~s nnnvns~ , s ~ LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE © ACORD CORPORATION 1988