Opening of Quotations - FLIR Traffic Camera Replacements Proj No 118-006 - Hawk Enterprises Inc

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Ate= V CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDmYY) 113012017 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 endorsements . PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 650 E. Carmel Drive, Suite 400 Carmel IN 46032 ry'MEACT Joni Linhart PHaNe 317-587-1330 FAX 317-810-4930 E-MAIL joni_linhart@ajg.com INSURERS AFFORDING COVERAGE NAIC N INSURER A; Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire Insurance Company 25615 INSURERC:Travelers Indemnity Company 25658 Hawk Enterprises, Inc. 1850 East North Street Crown Point, IN 46307-8566 INSURER D :Travelers Property Casualty Co of A 25674 INSURER E INSURER F : CnVFRArIFS CERTIFICATE NIIMRFR- 1497747967 REVISION NUMBER -- THIS 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 LTR TYPE OF INSURANCE INSD D POLICY NUMBER POLICY EFF MMfDD1YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR DT-CO.91-1818638•PHX-17 2/1/2017 2/1/2018 EACH OCCURRENCE $1,000,000 A AGE ToRNTED PRIM SES EaEoccurrence) $300,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE'CT- [XI LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS -COMPIOPAGG $2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY DT-810-OJ382147-COF-17 2/1/2017 211/2018 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ C UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CUP-DJ675D73-17-2fi 211/2017 21112D18 EACH OCCURRENCE $9,000,000 X [1 AGGREGATE $9,000,000 DED X RETENTION$10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE —N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IT yes, describe under DESCRIPTION OF OPERATIONS below NIA UB-OJ675602-17-2fi-G 2I112017 2/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Contractors License ULK I Irtl:A I L MUL L]ILK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE St Joseph County/City of South Bend Building THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN & Permit Department ACCORDANCE WITH THE POLICY PROVISIONS. 125 S Lafayette Blvd, Ste 100 South Bend IN 46601 USA AUTHORIZED REPRESENTATIVE '�'z14- c01988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD