Opening of Applications - Water Works Utility Service Line Repair Program - Bob Frame Plumbing Services, Inc.

Home Browse Search

ACOR130 L. CERTIFICATE OF LIABILITY INSURANCE BA E (MMR 0 YWV) 07/1 1 2 0 2 0 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 polictt(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 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 entlorsement s . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 OWATONNA, MN 55060 NAME'CT CLIENT 99NTACT CENTEE Pn/cNNo Est): 888-333-4949 A/c met; 507-446-4664 aoON s: CLIENTCONTACTCENTER FEDINS.COM INSURER(S) AFFORDING COVERAGE NAICN N INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 04/01/2020 INSURED 264-429-2 INSURER B: INSURER C: BOB FRAME PLUMBING SERVICES INC 2442 JACLYN CT SOUTH BEND, IN 46614-3700 INSURER D: AGGREGATE $2,000,000 INSURER E: INSURER F: f`FDTICtr`ATG NUMBED. GG REVISION NUMBER:0 V 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, IRT R TYPE OF INSURANCE DAL NA SUER POLICY NUMBER POLICY EFF POLICY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y N 9403507 04/01/2020 04/01/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 PR ISES Ea oc ce MED EXP (Any one person) EXCLUDED AUTHORIZED REPRESENTATIVE PERSONAL a ADV INJURY $1,000,000 JOE'L AGGREGATE $2,000,000 AGGREGATE LIMIT APPLIES PER:GENERAL POLICY ❑PRO ❑LOC /ECT OTHER: PRODUCTS - COMP/OP AGO $2,000,000 A AUTOMOBILE X LIABILITYIEOMBINED ANY AUTO OWNED AUTOS ONLY SCHEDVLED AUTO6 NON -OWNED HIRED AUTOS ONLY AUTOS ONLY N N 9403507 04101/2020 04/01/2021 SINGLE LIMITso en $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per actldenp PROPERTY DAMAGE accMen A X UMBRELLA LIAR E%CESS LIAR X OCCUR CLAIMS -MADE N N 94035014 04/01/2020 04/01/2021 EACH OCCURRENCE $2,000,000 AGOREGATE $2,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EX ------y E: (Mandatory in NH) Il yes. desttlbeunder DESCRIPTION OF OPERATIONS below NIA N 9403509 04/01/2020 04/01/2021 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 51 DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlbonel Remarks Schedule, may be exeebed If more space Is required) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERSt LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. TE NOER CANCELLATION CERTIFICA LD 264-429-2 22 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SOUTH BEND THE EXPIRATION DATE THEREOF, NOTICE WILL DE DELIVERED IN 227 W JEFFERSON BLVD SOUTH BEND, IN 46601-1830 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE • I , © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD