Opening of Bids - Fire Station No. 9 Demolitions Proj No 117-088 - Green Demolition Contractors

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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDIYYYY) 1 llk.� 11/20/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER CONTACT David S. Parriill NAME: €'arrllll, David PHONE (312) 621-5182 nAic No : {312) 621-2288 AIC Nn Ext: E-MAIL dparrilil@rockWOodoo.Com ADDRESS: The Rockwood Company p y INSURER(S) AFFORDING COVERAGE NAIL p 20 N Wacker Drive, Suite 960 INSURER A : Navigators specialty ins Co. 36056 Chicago IL 60606 INSURED V •�^^ INSURER B : S1afSione National insurance Co. 25496 Green Demolition Contractors, Inc INSURER C INSURER D 4840 S St Louis Ave Ste 100 INSURER E : INSURER F : Chicago IL 60632 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: fHIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I.TR TYPE OF INSURANCE ADOL INSD SURN WVD POLICY NUMBER O ICY EFF JMMIDDIYYYYI POLICY EXP MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS•MADE OCCUR ❑ T RE ❑ PREMISES Ea eccurfenoe _._... 50,000 $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A X X CE17GGL1326961C 05/16/2017 05/16/2018 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g 2,000,000 POLICY [g PRO- E] LOC PRODUCTS-GMPfOPAGG O. 2,000,000 $ _. $ OTHER _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident g 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A — OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X X CE17CGL1326961C 05/16/2017 05/16/2018 - BODILY INJURY (Per accdant) $ PROPERTY DAMAGE Par accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 B EXCESS LIAR CLAIMS -MADE 590958175ALI 05/16/2017 -05/16/2018 LOX RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN STATUTE 11 ERH_ ANY PROPRIETOWPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NHI E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below nESCR€PTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) ^ SEE ADDITIONAL REMARKS (ACORD 101) r'.FPTtFIr.GTF Hoi nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN LG Construction Group, LLC ACCORDANCE WITH THE POLICY PROVISIONS. 2234 W North Ave AUTHORIZED REPRESENTATIVE Chicago IL 60647 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD