Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MWnDIYYYY). <br />0911112pW7 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY. OR NE GATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, TH18 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certiflcate holder Is an ADDITIONAL INSURED,1hO pollcy(Iea} must have ADDITIONAL INSURED protrlslons or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, uertaln policies may require an endorsement. A Statement on <br />this csrtlNoate does not confer rights to the Certificate holder In Ilou of ouch endorselnent(d). <br />PRODUCER Paige Sexton <br />OADRESS, <br />Shepherd Insurance, LLC. ,(317846.666g464 c (317}846.4 <br />111 Congrssslonal Boulevard cerls@shephardins.eorn <br />Suite 100 INSURGRI81 AFFORDING COVEftAGE NA10B <br />Carmel IN 46032 tusur:arr A. AMCO Ins Co I igloo <br />INSURED <br />Pateon Inc., 013A: TransChtcago Truck Group <br />800 N Yoik Road <br />Elmhurst <br />IL 60126 <br />0: <br />EI <br />THIS 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOV9 FOR THE POLICY PfmfoD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE. POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE; TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />`L <br />TYPEOFINBURANCR <br />[NOD <br />POLICYNUMPOR <br />applyY <br />ANDD <br />LIMITS <br />A <br />X <br />COMM11RCIALORNRRALL.IABILITY <br />CLAIMS•MAUEz � OCCUR <br />ACPGPA3008409400 <br />09/0112617 <br />00/0112018 <br />EACHOCCUARSNGE <br />$ 1,000,000 <br />PRS 5 £a oxurranoo <br />$ 100,000 <br />MEOSXP JAU one arson <br />$ 6,000 <br />_ <br />peRSnNAbaAUVINduRY <br />9 1,oUD,OpD <br />0EN'LA6GREGATELIMITAPPLIU6PP.M <br />X POLICY ❑ jE"COT El LOO <br />OTHSR: <br />GENERAL AGGREGATE <br />; 3,000,000 <br />PRODtI0TS-COMPIOPAOG <br />= 3,000,000 <br />t <br />A <br />A1170MOSILRLIAWLITY <br />x ANYAUTO <br />OWNED 80H£DUL£0 <br />AUTtlSONLY AUTOB' <br />HIRED NON•OWNEO <br />AUTOS ONLY AUTOS ONLY <br />X Garage Lleb <br />AOPGPA1008409400 <br />09101/2017 <br />0810i12018 <br />Ea ccEdeO L 1 17 <br />b 1,000,000 <br />BODILY INJURY(Parperson) <br />6 <br />BODILY INJURY Parac4dert <br />I O <br />4 <br />per dr ap E <br />Limit <br />S 1,000,000 <br />A <br />X1 <br />UM8R9LLALIAR X <br />EXCESS LIA13 <br />QCCUR <br />CLAIMS -MADE <br />ACPOAA8008409400 <br />0910112017 <br />09101/2010 <br />FACHOCOURRENO£ <br />S 10,000,000 <br />AGORROATE -- <br />$ 100000 <br />DEO I X RETENTIONS 0 <br />�- <br />WQRKr3R5COMPENSATION <br />ANPBIAPLOYEHS'LIAEILETY YIN <br />ANY PROPRIETORIPAtiTNRRIEXEOUTIVE <br />OFFIBERrMEMOUR EXCLUDED?- <br />(MandatoryInNH) 11 <br />Mop daecrldeuitder <br />1) 66RIPTEONOFOPERATIO1JSbetoiv <br />NIA <br />£ OTH• <br />6T>,}iW_ ER_ <br />VL.EACH ACCIDENT <br />$ <br />E.L.OISPASE - EA EMPLOYEE <br />--- — <br />S <br />E.L.DISF.ASE- POLICY LtMIT <br />S <br />A <br />Physical Damage (Inventory) <br />Garagekeapera <br />ACPCiPA5000409400 <br />09/01/2017 <br />09101/2015 <br />Comp/Coll Ded: 2,600 <br />Comp/Coll lied; 6,000 <br />Dili: 31600,000 <br />Blk. 5,400,000 <br />DI:SCRIPT(ON OF OPERATIONS I LOCATIOlEB I VEHICLCs IACONO 1014 A401nonsl Romnrke 84110dulo, May ho altachod 11 Moro apaco Is required) <br />Re: Bid Bond <br />For: (1} Frelgh6iner Single Axle 4x4 Contractor Style pump Body <br />Amount of Bond; 10% of Contract Amount <br />City of South Bond, IN <br />1300 County -City Building <br />SHOULD ANY OF THE ABOVE DESCRIOtO POLICIES BE CANCELLED BE VORC <br />THE: EXPIRATION DATE. THEREOF, NOTICE WILL 66 DELIVERED IN <br />ACCORDAN06 WITH THE; POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVA <br />South Bend <br />IN 46601 <br />O 1000-2016 ACORD CORPORATION. All fights reserved <br />ACORD 25 (2010/03) Tito ACORN name and logo are registered marks of ACORD <br />