Opening of Quotes - Ziker Sample Street Building Restroom Remodel Proj No 117-123 - Premier I Construction Inc

Home Browse Search

Client#: 41974 PREMICO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) 07/17/2018 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(les) 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CRAJACTConnie J. Messer ONI Risk Partners _ PHo R — — Eat : 674-314-9190 FAX mcA o A/C No , 866-8934638 — 100 East Wayne Street, Ste 315 ADDREss: Cannie.messera�onirisk.com South Bend, IN 46601 INSURER(*) AFFORDING COVERAGE NAIC IV INSURER A: Cincinnati Insurance Co. 10677 INSURED Premier 1 Construction, Inc INSURER B : 105 E. Jefferson Blvd, Suite 216 INSURER C ; ------------------- --- South Bend, IN 46601 INSURERo_ INSURER E ; INSURER F : Lorm I IF'r[:A I it rVL11VIKITH' 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 BYpPAID I LTR TYPE OF INSURANCE INSR SU p POLICY NUMBER MWPDNYYY �CLLAIMS. MAIIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE n OCCUR PD Ded:500 X X EPP0448837 8/01/2018 08/0112019 EACHOCCURRENCE $1 000 000 RAM01EaoNrrencel 1500,000 X MED EXP (Any one person) $ O OOO PERSONAL & ADV INJURY- $1,000r000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I ^I ECT L.X_J LOC OTHER: GENRA EL AGGREGATE - $ 2,000,000 PRODUCTS -COMPIOPAGG $2,000,000 $ A _ AUTOMOBILE LIABILITY ANY NNAUTO AUTOSDONLY AVTpSULED AUTOS ONLY X NON -OWNED AUTOS ONLY EPPO448837 8/01/2018 08/01/201 Ea & en01SiNGLE LIMIT 1,000 OOO BODILY INJURY (Per parson) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par aoGdent $ _X A UMBRELLA LIAB X EXCESS LIAB OCCUR CLAIMS -MADE X X EPPO448837 — 010112018 0810112019 EACH OCCURRENCE_ _ $1 000 000 AGGREGATE $1 00O OOO DIED I X RETENTION $0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERlMEMSER EXCLUDED? (Mandatory In NH) DESCRIPTION OF OPERATIONS below N / A X EWC0448834 8/01/2018 08/01/201 X PER oTH- E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $500000 E.L. DISEASE - POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remark* Schedute, may be attached If more space Is required) All as contained herein when required by written contract PROOF OF INSURANCE ONLY SOUTH BEND, IN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C ACORD 26 (2016/03) 1 of 1 #S16042091M1604207 O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CMESS