Opening of Bids - Great Lakes Capital Spec Building Project No 118-058 - Niblock Excavating Inc

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MP Client#: 33579 N113LEXC CERTIFICATE ®F LIABILITY INSURANCE D91E(MMDDI YYYY] ID DATE (MMDf., 18 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlons of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER ONl Risk Partners 600 E 96th St Suite 400 CO NA TACT E: Robin Stinger L N E , 317-706-9861 Arc Nor. EMAIL ADDREss: robin.stinger@onirisks.com Indianapolis, IN 46240 INSURER(S) AFFORDING COVERAGE NAIC p _ INSURER A:ZudchAmarlo ntnsumnceCompa 16635 INSURED Niblack Excavating, Inc. 906 Maple Street P.O. Box 211 INSURER B : Tmvefem Properly Casualty Co 25674 INSURER C : INSURER D : Bristol, IN 46507 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTR TYPE OP INSURANCE A SDL y yB� POLICY NUMBER MMfaDY�YEYYY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Primary & NonContrib X X GLO101091403 10/01/2017 101011201E AAq $1 000 000 ppECMMHgqGGOCCrrUR��NTErRRENCE PR 6&1 EaEnce 000,030 X MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE 0 LOC OTHER: GENERAL AGGREGATE S2,DDO,O00 PRODUCTS - COMPIOP AGG s2,000,000 S A AUTOMOBILE LIABILITY X ANY AUTO ALL OAMED SCHEDULED AUTOSAUFOS Ix NOWOWNED X HIRED AUTOS X X BAP101091303 0/01/2017 101011201 Es acBI�IVdeDSINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY GAM47E Par accident $ $ B X UMBRELLA LfAO EXCESS LIAB X OCCUR CLAIMS -MADE X X ZUP41 M3247317NF 10/01/2017 10/01/201t EACH OCCURRENCE $5 000 000 AGGREGATE $5 000 000 DEO I X RETENTION $1D 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRSIATUTE. rRIETOR/PARTNERIEXECUTfVEYrN OFFICE MEMBER EXCLUDED? (Mandatary In NH) Ues, describe under DESCRIPTION OF OPERATIONS below N! A X _ WG101091203 10/01/2017 10/01/201 X PER OTH- ER E.L.EACH ACCIDENT $1 OOOOOO E.L. DISEASE - EA EMPLOYEEI $1 00O 000 E.L. DISEASE - POLICY LIMIT $1 00O 000 A Leased & Rented Equipment CPP011740102 10/01/2017 101011201E $800,000 Limit $5,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) 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 O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD #S16839411M1621955 TCROW