Opening of Quotes - Main Street Culvert Inlet – Project No. 120-016 - HRP Construction Inc.

Home Browse Search

MiD .� �'�C] . CERTIFICATE OF LIABILITY INSURANCE DAoe�27i2o,s� 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 orbe endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 CON ACT Danlelle HUnt NAME:. Gibson Insurance Agency, Inc. P o'N a (800) 814-2122 AIC (800) 836-2122 130 S Main St, Ste 400-MAIEsss dhunt@91bson1ns.com DR PO Box 11177 INSURER(S)AFFORDING COVERAGE NAICd South Bend IN 46601-0177 INSURERA: AmerisureMut Ins Co 23396 INSURED "' 1AMloon R HRP Construction Inc. INSUPERC: 5777 Cleveland Rd wsURERD: PO Box 266 INSURER E South Bend IN 46624-0266 INsuRERF: CERTIFICATE NUMBER! 9-1-19/20 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERIA OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICHTHIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE NSD WVD POLICYNUMBER MMIDDlYM OLICY IAtalllrarYYYY UMRs X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000.000 CLAIMSMADE � OCCUR '.. wamh PREMISES Ea NIED ce S 1,000,000 MEDEXP Any one person) S 10,000 X XC'U Contractual Liability PERSONAL &ADV INJURY S 1,000.000 A X CPP20316441502 09/01/2019 09/01/2020 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGRECATE S 2.000,000 POLICY [g JPE T El LOC PRODUCTS -COMP/OPAGG S 2,000.000 S OTHER: AUTOMOBILE LIABILITY COMOINED t5NGLE UMIT Ea accidonl S 1,000,000 BODILY INJURY (Per person) S ANYAUTO A SCHEDULED CA20316451502 09/0112019 09/01/2020 BODILY INJURY (Per accideal) ""-- SAUTOS AOWNED UTOS ONLY HIRED .+ NON-0WNED ++"'* I PROPF.RTYDA'th1AC,'E S AUTOS ONLY AUTOS ONLY Pera drat X.. UMBRELLALIAB X. OCCUR EACH OCCURRENCE S 10,000.000 A - EXCESS*��LIrAB CLAIMSMADE CU20316431402 09/01/2019 09/01/2020 AGGREGATE S 10,000.000 .r^r.' DED RETENTION S 0 S " 'WORKERS COMPENSATION I PER OTH" STATUTE ER AND EMPLOYERS'LIABILITY YIN EAc11Acc1DEerT v-"- s 1,000,000 ANY PROPRIETORIPARTNER)EXECt! IVE ❑ A N NIA WC203164214 09/0112018 09/01/2020 E.L. DISEASE - EA EMPLOYEE 1000,-� S 000 OFFICERdrlEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE- POLICY LIMIT $ 1,000,000 II'yes, descAe under '.DESCRtPnON OF OPERATIONS below DESCRIPTION Of,OPERATIONS ILOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached ir mom space Is required) City of South Bend Board of Public Works ' 227 West Jefferson, 13th Floor c"South Bend IN 46601 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 U 19till-2015 ACORD CORPORATION. All rights reserve0. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD I I