Professional Services Agreement - Lawson Fisher Associates PC - Bendix Drive Stage II Construction Inspection Services

Home Browse Search

DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 04/16/2018 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(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 NCONTACT AM Etllle Lloyd Gibson Insurance Agency, Inc. PHONE ONE (800) 814-2122 FAX Na . ($DO) 836.2122 130 S Main St, Ste 400 ADDRESS: elioyd(r gibsonlns.com PO Box 11177 iNSUitBw ' SyA4FFOR;DiNG COVERAGE NAIC # South Bend IN 46601-0177 INSURERA: Admiral Ins Co 24856 INSURED INSURERS: Lawson -Fisher Associates, PC INSURERC: 525 W Washington Ave INSURER D Suite 200 INSURER E : South Bend IN 46601 INSURER F: rnVFRAt±FS rPRTIPir"ATP NIiMPiEp...• 4-15-18M9 Prof LlabONLY _....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. LTR TYPE OF INSURANCE .N O POLICYNUMBER MM/DD MNiMD'i7firYYY LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ CLAIMS -MADE El OCCUR PREMISE$ Ea occurrence $ IT MED EXP (Any one person) $ PERSONAL&ADV INJURY $ " _'' - GEML AGGREGATE LIMITAPPLIESPER: GENERALAGGREGATE $ POLICY El JECT 0 LOC PRODUCTS - COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBiNED §NGLE M0 [a accident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) PROP991Y 5AMAU P�y§,raC�lnl $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE Is AGGREGATE Is EXCESS LIAB CLAIMS -MADE DEO I RETENTION $ I$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE r--J OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA E OTH. STATUTE ER E.L. EACH ACCIDENT '"'"'--"" E.L. DISEASE - EA EMPLOYEE $ $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT $ Each Claim $2,000,000 Professional & Contractors A Pollution Liability ITE000002239805 04/15/2018 04/15/2019 Aggregate $2,000,000 I . . . .................... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of South Bend Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS. County City Building, 1400 AUTHORIZED REPRESENTATIVE 227 West Jefferson South Bend IN 46601 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks ofACORD