HomeMy WebLinkAboutWEKAN LIABILITY CERTIFICATE 2016 I 0--v I■ta-v-
CMfINSURANCEGROUPLLCGrange Mutual Casualty Company
812 SPRING STREET 00V P.O. Box 1218
PO BOX 326 Grange Columbus, Ohio 43216-1218
JEFFERSONVILLE,IN 47131 Insurance®
ABS
412)282-1077
Agent No. 13--0143-0-
lfraze@cfinsurance.com
www.cfinsurance.com Named Insured and Address
BusinessAssuresm
Policy Type:Contractors&Tradesmen
Reason Issued: Policy Change- WEKAN LLC
Multiple Changes RICK LOVAN
Policy Number: CT 2656466-01 2107 SAINT ANDREWS RD
Change Effective Date: 08107/16 JEFFERSONV I LLE IN 47130
Issue Date: 07127/16
Acct. No: 0000223610
From: 08/07/16 To: 08/07/17 12:01 a.m. standard time at the address of the named insured as shown above.
These declarations together with the applications, common policy conditions, coverage part declarations, coverage part
coverage form(s) and forms and endorsements, if any, issued to form a part thereof, complete the above numbered
policy. In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide
the insurance as stated in this policy.
Policy Declarations
Business Description HANDYMAN Legal Entity LIMITED LIABILITY CO.
! This policy consists of the following coverage parts for which a premium is indicated.This advance premium may be
subject to adjustment.
Coverage(s) Advance Premium
Businessowners Coverage ' (l#)'i i ':ii i<:
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Certified Acts of Terrorism
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P ei signed rejection on file .
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«>Your Total PolicyPremium Is ... .
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The Premium Credit From This Policy Change Is $282.50CR Premium does not include service charges.
THIS IS NOT A BILL. This premium credit will appear on your next billing statement,
and remaining payments will be adjusted accordingly.
INSURED COPY M37 Page 1
AP241 110-20121 ---.. BPREV 1D
Coverages Applying to All Business Locations
Businessowners Section I Property Deductibles
Basic Deductible:
Optional Coverage/Glass Deductible:$500,unless specified elsewhere in this policy.
Businessowners Section II Liability Coverage
Except for Damage to Premises Rented to You,each paid claim under SECTION II,LIABILITY of the
Businessowners Coverage Form reduces the amount of insurance we provide during the applicable annual period.
Refer to SECTION II,D.Liability And Medical Expenses Limits of Insurance and limits shown below.
Coverages a es
9 s .I::Msum Advance Premium
Liability t L' '
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Y emie..akh r��c�rr;,�ri.c.�. .::::>: $340.00
Products/Completed
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erat '
Operations
Personal 1 &
Advertising st
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Medical
Expenses
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Damage e
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Premises s R
ent
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Liability atY
Classifications
scat '
ions
27
050
Lawn
Care
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Pa r
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25625
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Residential
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29999
Subcontracted ra
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k (not
to exceed d 25
0
o f
annual
receipts)
(Total
Cost
$6,000
Additional Insured d _
Owners
Lessees or
Contractors acto
rs
With
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Additional nal
Insured
requirement ment '
in
Construction ruct '
ion
Contracts c
a is
BP 04 5
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$83. 00
Additional nal
Insured d
Designated
nate
d
$21 . 00
Person
or Organization g
r anzat '
io
n BP
04
48
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RP141 n n_7nnd) Page 2
Grange Mutual Casualty Company
Policy Schedule
Described Premises Location
Premises: Building : ,;:::>:::>2::l..�.7::>51�1'�' r�la1�S;» » :>::>::;::>::::>
0001 .E�FM �LI .:: N''..'>:<<': <<:>:«<:>>:> > <:><:: ...::
0 01 ...............
Coverages Applying to This Business Location
Coverages Limits of Insurance Advance Premium
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Named Insured: WEKANLLC
Policy Number: CT 2656466 INSURED COPY Page 3
BPPOL3B
Policy Forms Inventory
Endorsement
BP 00 03 (01/10) Businessowners Coverage Form
BP 01 35 (02/08) Indiana Changes
BP 05 01 (07/02) Calculation of Premium
BP 14 45 (12/10) Indiana Workers ' Compensation Exclusion
BP 158 (05/11) Medical Expenses and Common Policy Conditions Changes
Cc 09 (01/05) Asbestos , Silica OR Mixed Dust Exclusion
IL 15 (06/97) Lead Exclusion
IL 33 (09/12) Indiana Changes - Pollutants
BP 04 17 (01/10) Employment-Related Practices Exclusion
BP 04 48 (01/06) Additional Insured - Designated Person or Organizatio. . .
BP 04 51 (01/06) Additional Insured - Owners , Lessees or Contractors -
BP 05 24 (01/15) Exclusion of Certified Acts of Terrorism
BP 05 77 (01/06) Fungi or Bacteria Exclusion (Liability)
BP 07 02 (07/02) Amendment - Aggregate Limits of Insurance (Per Project)
BP 124 (10/06) * Lawn Care Services Coverage
BP 14 08 (01/10) Exclusion - Exterior Insulation and Finish Systems
BP 14 19 (01/10) Exclusion - Damage To Work Performed By Subcontractor . . .
BP 149 (05/10) Exclusion - Tainted Drywall Material
" Indicates an Added or Changed Form
AP241 nnann4% Page 4
• r
Grange Mutual Casualty Company
P.O. Box 1218
i
Columbus, Ohio 43216-1218
Endorsement BP 124 Policy Number: CT 2656466
Lawn Care Services Coverage
This endorsement changes the policy. Please
read it carefully.
This endorsement modifies insurance provided
under the following:
BUSINESSOWNERS COVERAGE FORM
Section II-Liability is amended as follows:
Paragraph (1)(d)of Exclusion f. does not apply to
the application of herbicides or pesticides,by
an insured on lawns under your regular care, for
which the insured is not required to obtain a
license or permit to apply.
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Contains copyrighted material of Insurance Services Office,Inc.,with its permission.
IK1223(10-2006)