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---le r CERTIFICATE OF LIABILITY INSURANCE 0104017DnY, n <br />,qoRo � <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 NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSWRER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement's). <br />PRODUCER <br />"'MARSH USA INC <br />1166 AVENUE OF THE AMERICAS <br />NEW YORK, NY 10036 <br />Phone:866-966-4664 <br />Emcor.Coarequest@marsh.com I Fax: 203.229-6787 <br />034282-Sham-SON-17-1$ SHAMB <br />ONTACT <br />NEE' <br />PHONE 1 AX <br />C. No <br />xtt: _ <br />EMAIL <br />ADDRESS: <br />€NSURER S AFFORD€NG GOVERAG£ <br />NAIC # <br />INSURER A: Continental CasuallyCam an <br />2�43 <br />INSURED <br />EMCOR CONSTRUCTION SERVICES <br />DIV. OF SHAMBAUGH & SON LP <br />INSURER B : American Casualt Com altOf Readin , Pa -'-' <br />ZA27 <br />INSURER C : Transportation Insurance Co <br />20494 <br />INSURER D : NIA <br />NIA <br />7514 OPPORTUNITY DRIVE I P.O. BOX 1287 <br />FORT WAYNE, IN 46801 <br />INSURER E : <br />INSURER F : <br />r.r�tiernwnr.+ ref Vi1=1t`A /'e A111RAMCG• NYr:.D1n1:Wa51i-n1 K1=VI;2IUN NLJIY1L7C.R: t <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <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 />INSR <br />LT <br />TYPE OFINSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICYEFF <br />MM 0 <br />POLICY EXP <br />1DfllYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIAEILITY <br />GL6049702453 <br />1010112017 <br />10101/2018 <br />EACH OCCURRENCE <br />S <br />CLAMS -MADE F] OCCUR <br />l <br />A GETO RENTED <br />PREMISES Ea occugges <br />b <br />MED EXP (Anyone eraon <br />J2.0W.000 <br />b <br />PERSONAL& ADV INJURY <br />2,000,091) <br />GEN'LAGGREGATELIMITAPPLIESPER: <br />GENERALAGGREGATE <br />$ 6,000,000 <br />PRODUCTS-COMPI4PAGG <br />b ,, 000 <br />POLICY M CTT LOC <br />JE <br />S <br />OTHER: <br />- A <br />AUTOMOBILE LIABILITY <br />BUA 6049702436 <br />10/01f2017 <br />1010112018 <br />COMBINED SINGLE LIMIT <br />S 2,QOD,000 <br />BODILY INJURY (Per poison) <br />S <br />X ANY AUTO <br />BODILY INJURY (Per accident) <br />S <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />! <br />E <br />I <br />PROPERTY DAMAGE <br />IPLr acrid nt <br />$ <br />Auto Physical Damage <br />$ Included <br />UMBRELLALIAB <br />OCCUR <br />EACHOCCVRRENCE <br />b <br />AGGREGATE <br />S <br />EXCESS VAS <br />CLAIMS -MADE <br />DED RETEN7iDNS <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN1WC1010112017 <br />ANYPRO PRI E iOR/PARTN £R!E XEC U7lVE <br />OFEICER MEMaER£xCLUDE07 FN <br />(Mandatory In NH) <br />If EBB, descr�tre under <br />O£5GRIPTION OF OPERATIONS below <br />X STATUTE �RH_ <br />b <br />B <br />B <br />C <br />NIA' <br />WC 6 50232850 (AOS► <br />6 50145496 (CA) <br />WC 6 60234842 (AZ, OR, WI I <br />10/8112017 <br />1010112018 <br />101011201$ <br />10/0112018 <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE • EA EMPLOYEE <br />S 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />S 1,000,000 <br />DESCRIPTION OF OPERATIONS [LOCATIONS r VEHICLES (ACORD f01. Additional Remarks Schedule, may t» attached It more space is regsiredl <br />FICA <br />CITY OF SOUTH BEND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />OFFICE OF THE BOARD OF PUBLIC WORKS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />13TH FLOOR COUNTY -CITY BUILDING, ZOOM 13t6 ACCORDANCE WITH THE POLICY PROVISIONS. <br />227 WEST JEFFERSON <br />SOUTH BEND, IN 46601 AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />Manashi Muhherjee MpLMppL.n �],rt �te�u.� e 4 <br />O 1988-20116 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />